| Wabash Valley Children's Denistry, Llc | |
|
440 E Hospital Ln Terre Haute IN 47802-4251 | |
| (812) 234-5437 | |
| Not Available |
| Full Name | Wabash Valley Children's Denistry, Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 440 E Hospital Ln, Terre Haute, Indiana |
| Authorized Official Name and Position | Paul M Zimmerman (BUSINESS MANAGER) |
| Authorized Official Contact | 8122345437 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wabash Valley Children's Denistry, Llc 440 E Hospital Ln Terre Haute IN 47802-4251 Ph: (812) 234-5437 | Wabash Valley Children's Denistry, Llc 440 E Hospital Ln Terre Haute IN 47802-4251 Ph: (812) 234-5437 |
| NPI Number | 1346298494 |
|---|---|
| Provider Enumeration Date | 05/04/2006 |
| Last Update Date | 07/15/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346298494 | NPI | - | NPPES |
| 200474320 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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