| Ted D Zaharako Estate | |
|
3154 N National Rd Columbus IN 47201-3170 | |
| (812) 372-0102 | |
| (812) 372-3875 |
| Full Name | Ted D Zaharako Estate |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3154 N National Rd, Columbus, Indiana |
| Authorized Official Name and Position | Alice Jean Phillips (PERSONAL RESPENTATIVE) |
| Authorized Official Contact | 8123429986 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ted D Zaharako Estate 431 Washington St Columbus IN 47201-6757 Ph: (812) 376-6676 | Ted D Zaharako Estate 3154 N National Rd Columbus IN 47201-3170 Ph: (812) 372-0102 |
| NPI Number | 1235575499 |
|---|---|
| Provider Enumeration Date | 05/15/2013 |
| Last Update Date | 05/15/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235575499 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 12007403 (Indiana) | Primary |
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