# APEX DENTAL STUDIO, INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Apex Dental Studio
- **Organization subpart:** No

## Provider details

- **NPI number:** 1376039909
- **Authorized official:** SUVARNA T DANTULURI (PRESIDENT)
- **Authorized official phone:** (270) 559-0990

## Contact information

- **Practice address:** 2528 WALTON BLVD, WARSAW, IN 46582
- **Practice address phone:** (574) 626-4100
- **Practice address fax:** (574) 208-5179
- **Mailing address:** 2528 WALTON BLVD, WARSAW, IN 46582
- **Mailing address phone:** (574) 626-4100
- **Mailing address fax:** (574) 208-5179

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 12012881A | IN | Yes |

## Other

- **Enumeration date:** 07/06/2018
- **Last updated:** 07/06/2018
