TERRE HAUTE ORAL & MAXILLOFACIAL SURGERY

TERRE HAUTE, IN
NPI1487032538
Entity TypeOrganization
Authorized ContactRUTH LEE
Office Manager
317-373-4164
Organization Subpart ?No
Primary Taxonomy1223S0112X Dentist, Oral and Maxillofacial Surgery
(Licence: IN  12010748A)
Additional Taxonomies1223S0112X Dentist, Oral and Maxillofacial Surgery
(Licence: IN  12010652A)
1223S0112X Dentist, Oral and Maxillofacial Surgery
(Licence: IN  12011416A)
Enumeration Date2015-05-09
Last Update Date2015-05-09
Business Address
TERRE HAUTE ORAL & MAXILLOFACIAL SURGERY
3630 S 4TH ST
TERRE HAUTE, IN 47802-5543
Phone number: 317-373-4164
Mailing Address
TERRE HAUTE ORAL & MAXILLOFACIAL SURGERY
3630 S 4TH ST
TERRE HAUTE, IN 47802-5543
Phone number: