Organization
TLC DENTAL LLC
Active
Parent organization
TLC DENTAL LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
TLC DENTAL LLC
Authorized official
SAVITHRI RAJU (OWNER)
(260) 423-2525
Entity
Organization
Contact information
Practice address
7908 CARNEGIE BLVD, FORT WAYNE, IN 46804-5781
(260) 423-2525
Mailing address
7908 CARNEGIE BLVD, FORT WAYNE, IN 46804-5781
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
10/16/2017
Last updated
10/16/2017
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