| NPI | 1366742371 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARAH MICHELE LECLERE Dentist/Owner 260-494-9435 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IN 12011298A) |
| Enumeration Date | 2010-10-25 |
| Last Update Date | 2023-01-11 |