Organization
DR LINDA COLTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LINDA KAY COLTER DDS,MSD (ORTHODONTIST)
(812) 446-2275
Entity
Organization
Contact information
Practice address
803 W NATIONAL AVE, BRAZIL, IN 47834-2437
(812) 446-2275
(812) 446-6038
Mailing address
803 W NATIONAL AVE, BRAZIL, IN 47834-2437
(812) 446-2275
(812) 446-6038
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
12009712
IN
Other
Enumeration date
08/30/2018
Last updated
08/30/2018
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