# TED D ZAHARAKO ESTATE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1235575499
- **Authorized official:** MRS. ALICE JEAN PHILLIPS (PERSONAL RESPENTATIVE)
- **Authorized official phone:** (812) 342-9986

## Contact information

- **Practice address:** 3154 N NATIONAL RD, COLUMBUS, IN 47201-3170
- **Practice address phone:** (812) 372-0102
- **Practice address fax:** (812) 372-3875
- **Mailing address:** 431 WASHINGTON ST, COLUMBUS, IN 47201-6757
- **Mailing address phone:** (812) 376-6676
- **Mailing address fax:** (812) 379-2498

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 12007403 | IN | Yes |

## Other

- **Enumeration date:** 05/15/2013
- **Last updated:** 05/15/2013