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1053852202
OPTIM DENTAL -1 LLC
TERRE HAUTE, IN
NPI
1053852202
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Entity Type
Organization
Authorized Contact
SRINIVAS DURSHANAPALLI
President
217-303-5955
Organization Subpart ?
No
Primary Taxonomy
1223G0001X Dentist General Practice
Enumeration Date
2017-03-20
Last Update Date
2017-03-20
Business Address
OPTIM DENTAL -1 LLC
3353 S US HIGHWAY 41 UNIT 3369
TERRE HAUTE, IN 47802-3727
Phone number: 812-777-8777
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Mailing Address
OPTIM DENTAL -1 LLC
3353 S US HIGHWAY 41 UNIT 3369
TERRE HAUTE, IN 47802-3727
Phone number: 812-777-8777
Copy
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