NPI | 1861628398 |
---|---|
Entity Type | Organization |
Authorized Contact | KURT M LOSIER Owner 765-454-9700 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IN 12011156A) |
Enumeration Date | 2009-06-10 |
Last Update Date | 2009-06-10 |