# TLC DENTAL LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** TLC DENTAL LLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1225549363
- **Legal business name:** TLC DENTAL LLC
- **Authorized official:** SAVITHRI RAJU (OWNER)
- **Authorized official phone:** (260) 423-2525

## Contact information

- **Practice address:** 7908 CARNEGIE BLVD, FORT WAYNE, IN 46804-5781
- **Practice address phone:** (260) 423-2525
- **Mailing address:** 7908 CARNEGIE BLVD, FORT WAYNE, IN 46804-5781

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | — | Yes |

## Other

- **Enumeration date:** 10/16/2017
- **Last updated:** 10/16/2017