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Organization
ACCESS DENTAL OF TERRE HAUTE LLC
Active
Organization
ACCESS DENTAL OF TERRE HAUTE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREA CARRILLO (REGIONAL DIRECTOR)
(512) 351-2612
Entity
Organization
Contact information
Practice address
3359 S US HIGHWAY 41, TERRE HAUTE, IN 47802
(812) 645-4110
Mailing address
3359 S US HIGHWAY 41, TERRE HAUTE, IN 47802
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
12/10/2021
Last updated
12/10/2021
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