Organization
TRAVELLI DENTAL SERVICES LLC
Active
Other names
ANGOLA DENTAL CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KELLI THIELE DMD (DENTIST)
(260) 665-5767
Entity
Organization
Contact information
Practice address
205 E HARCOURT RD, ANGOLA, IN 46703-7131
(260) 665-5767
Mailing address
205 E HARCOURT RD, ANGOLA, IN 46703-7131
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
11/27/2024
Last updated
11/27/2024
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