Organization
TDS IN SIX LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADRIENNE NICHOLSON CDA (REGIONAL MANAGER)
(812) 569-2955
Entity
Organization
Contact information
Practice address
3684 US- 150 #9, FLOYDS KNOBS, IN 47119
(812) 569-2955
Mailing address
3684 US-150 #9, FLOYDS KNOBS, IN 47119
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
03/06/2020
Last updated
03/06/2020
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