| Great Grillz Llc | |
|
1555 N Wayne St Angola IN 46703-2352 | |
| (260) 319-5090 | |
| Not Available |
| Full Name | Great Grillz Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1555 N Wayne St, Angola, Indiana |
| Authorized Official Name and Position | Kurt Losier (OWNER) |
| Authorized Official Contact | 2603195090 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Great Grillz Llc Po Box 70887 Cleveland OH 44190-0887 Ph: () - | Great Grillz Llc 1555 N Wayne St Angola IN 46703-2352 Ph: (260) 319-5090 |
| NPI Number | 1336605773 |
|---|---|
| Provider Enumeration Date | 02/11/2019 |
| Last Update Date | 06/20/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336605773 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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