NPI | 1578227013 |
---|---|
Doing Business As | BROWN & LUCZAK FAMILY DENTISTRY |
Entity Type | Organization |
Authorized Contact | JOHN C LUCZAK Dentist 269-429-1587 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
Enumeration Date | 2021-10-29 |
Last Update Date | 2021-10-29 |