Organization
GREAT GRILLZ LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KURT LOSIER (OWNER)
(260) 319-5090
Entity
Organization
Contact information
Practice address
1555 N WAYNE ST, ANGOLA, IN 46703-2352
(260) 319-5090
Mailing address
PO BOX 70887, CLEVELAND, OH 44190-0887
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
02/11/2019
Last updated
06/20/2023
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