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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