| NPI | 1326439787 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL G KLAUER Provider 574-968-5166 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: IN 12011496A) |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2015-02-06 |
| Last Update Date | 2015-02-06 |