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 |