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1427628684
ELITE SMILES DENTAL, LLC
TERRE HAUTE, IN
NPI
1427628684
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Entity Type
Organization
Authorized Contact
SHELBEY MAYHEW
Controller
812-234-7322
Organization Subpart ?
No
Primary Taxonomy
261QD0000X Clinic/Center, Dental
Enumeration Date
2021-06-30
Last Update Date
2021-06-30
Business Address
ELITE SMILES DENTAL, LLC
1024 LAFAYETTE AVE
TERRE HAUTE, IN 47804-2932
Phone number: 812-234-7322
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Mailing Address
ELITE SMILES DENTAL, LLC
1107 OHIO ST
TERRE HAUTE, IN 47807-3817
Phone number: 812-234-7322
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