| Optim Dental -1 Llc | |
|
3353 S Us Highway 41 Unit 3369 Terre Haute IN 47802-3727 | |
| (812) 777-8777 | |
| Not Available |
| Full Name | Optim Dental -1 Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3353 S Us Highway 41 Unit 3369, Terre Haute, Indiana |
| Authorized Official Name and Position | Srinivas Durshanapalli (PRESIDENT) |
| Authorized Official Contact | 2173035955 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Optim Dental -1 Llc 3353 S Us Highway 41 Unit 3369 Terre Haute IN 47802-3727 Ph: (812) 777-8777 | Optim Dental -1 Llc 3353 S Us Highway 41 Unit 3369 Terre Haute IN 47802-3727 Ph: (812) 777-8777 |
| NPI Number | 1053852202 |
|---|---|
| Provider Enumeration Date | 03/20/2017 |
| Last Update Date | 03/20/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053852202 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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