| Allusion Dental, Inc | |
|
2646 Lois St Portage IN 46368-3500 | |
| (219) 762-4266 | |
| Not Available |
| Full Name | Allusion Dental, Inc |
|---|---|
| Speciality | Dentist |
| Location | 2646 Lois St, Portage, Indiana |
| Authorized Official Name and Position | Stephanie D Joly (PRESIDENT) |
| Authorized Official Contact | 2197624266 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Allusion Dental, Inc 2646 Lois St Portage IN 46368-3500 Ph: (219) 762-4266 | Allusion Dental, Inc 2646 Lois St Portage IN 46368-3500 Ph: (219) 762-4266 |
| NPI Number | 1215275284 |
|---|---|
| Provider Enumeration Date | 01/24/2013 |
| Last Update Date | 01/24/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215275284 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 12011254A (Indiana) | Primary |
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