Affordable Dentures -terre Haute,p.c.

NPI 1013055797 - Dentist - 122300000X

NPI Details
NPI 1013055797
Enumeration Date 02/02/2007
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name GLEN GLEN
Position OWNER
Phone (812) 877-6724
Fax
Practice Location
2801 S ANTON ST
TERRE HAUTE IN, 47803-9747, US
Phone (812) 877-6724
Fax
Business Location
2801 S ANTON ST
TERRE HAUTE IN, 47803-9747, US
Phone (812) 877-6724
Fax
Toxanomy
Taxonomy Code 122300000X
License State Indiana
License Number 12010393A
Remove 1013055797 NPI Number
 

According to our database, Affordable Dentures -terre Haute,p.c. NPI is 1013055797, taxonomy code is 122300000X and license number is 12010393A, license state is located at Indiana. Affordable Dentures -terre Haute,p.c. physically located at 2801 S Anton St, Terre Haute IN, 47803-9747. NPI Number 1033115704 has the healthcare provider type.

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1013055797 NPI number is provided on an as is basis without warranty of any kind. 1013055797 is maintained by the National Plan & Provider Enumeration System. The contents of Affordable Dentures -terre Haute,p.c. are for informational purposes only.