Great Grillz LLC

NPI #1336605773 in Angola, Indiana

Provider Information

NPI Number: 1336605773
Entity Type: Organization
Organization Name: Great Grillz LLC
Primary Specialty: Dentist - General Practice
Enumeration Date: Feb 11, 2019
Last Updated: Jun 20, 2023

Practice Location

Address: 1555 N WAYNE ST
City: Angola
State: Indiana
ZIP Code: 46703-2352
Phone: (260) 319-5090

Authorized Official

Name: KURT LOSIER
Title: OWNER
Phone: (260) 319-5090

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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