| Tlc Dental Llc | |
|
7908 Carnegie Blvd Fort Wayne IN 46804-5781 | |
| (260) 423-2525 | |
| Not Available |
| Full Name | Tlc Dental Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 7908 Carnegie Blvd, Fort Wayne, Indiana |
| Authorized Official Name and Position | Savithri Raju (OWNER) |
| Authorized Official Contact | 2604232525 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tlc Dental Llc 7908 Carnegie Blvd Fort Wayne IN 46804-5781 Ph: () - | Tlc Dental Llc 7908 Carnegie Blvd Fort Wayne IN 46804-5781 Ph: (260) 423-2525 |
| NPI Number | 1225549363 |
|---|---|
| Provider Enumeration Date | 10/16/2017 |
| Last Update Date | 10/16/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225549363 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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