| NPI | 1336502145 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY L GOTSCH Owner/Dentist 260-486-8778 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0700X Dentist, Prosthodontics |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: IN 7341) |
| Enumeration Date | 2016-03-30 |
| Last Update Date | 2016-10-10 |