NPI | 1003001710 |
---|---|
Doing Business As | LAURA KUKELHAN, DDS |
Entity Type | Organization |
Authorized Contact | VIKKI S. RUNYON Secretary 260-824-3100 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IN 12010786) |
Enumeration Date | 2007-09-06 |
Last Update Date | 2007-09-06 |