Individual
KURT LOSIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
720 E COLISEUM BLVD, FORT WAYNE, IN 46805-1220
(260) 483-4000
Mailing address
PO BOX 3189, SYRACUSE, NY 13220-3189
(315) 454-6000
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12011156A
IN
Other
Enumeration date
05/30/2008
Last updated
05/30/2008
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