| NPI | 1730576752 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS A CLOSURDO President 574-288-1900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IN 12011946) |
| Enumeration Date | 2015-04-16 |
| Last Update Date | 2015-04-16 |