| 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 |