| Myofunctional Therapy Centre, Llc | |
|
1245 E University Dr Granger IN 46530-4292 | |
| (574) 968-5166 | |
| (877) 317-3186 |
| Full Name | Myofunctional Therapy Centre, Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1245 E University Dr, Granger, Indiana |
| Authorized Official Name and Position | Daniel G Klauer (OWNER) |
| Authorized Official Contact | 5749685166 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Myofunctional Therapy Centre, Llc 1245 E University Dr Granger IN 46530-4292 Ph: (574) 968-5166 | Myofunctional Therapy Centre, Llc 1245 E University Dr Granger IN 46530-4292 Ph: (574) 968-5166 |
| NPI Number | 1629584362 |
|---|---|
| Provider Enumeration Date | 12/18/2017 |
| Last Update Date | 12/18/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629584362 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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