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Organization

MYOFUNCTIONAL THERAPY CENTRE, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DANIEL G KLAUER (OWNER)
(574) 968-5166
Entity
Organization

Contact information

Practice address
1245 E UNIVERSITY DR, GRANGER, IN 46530-4292
(574) 968-5166
(877) 317-3186
Mailing address
1245 E UNIVERSITY DR, GRANGER, IN 46530-4292
(574) 968-5166
(877) 317-3186

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary

Other

Enumeration date
12/18/2017
Last updated
12/18/2017
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