| NPI | 1245794643 |
|---|---|
| Doing Business As | DBA LUSH FAMILY DENTAL |
| Entity Type | Organization |
| Authorized Contact | MICHAEL WILLIAM LOUSCHER Dentist/Owner 515-303-0909 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2019-01-30 |
| Last Update Date | 2019-09-26 |