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1265820906
OPTIM DENTAL LLC
SPRINGFIELD, IL
NPI
1265820906
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Entity Type
Organization
Authorized Contact
SRINIVAS DURSHANAPALLI
President
203-215-4687
Organization Subpart ?
No
Primary Taxonomy
122300000X Dentist
(Licence: IL 019028802)
Enumeration Date
2015-01-05
Last Update Date
2015-01-05
Business Address
OPTIM DENTAL LLC
907 S 6TH ST
SPRINGFIELD, IL 62703-2401
Phone number: 217-971-3432
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Mailing Address
OPTIM DENTAL LLC
907 S 6TH ST
SPRINGFIELD, IL 62703-2401
Phone number: 217-971-3432
Copy
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