Individual
SAWAN PRABHU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
1800 FORT HARRISON RD, TERRE HAUTE, IN 47804-1413
(812) 645-4266
Mailing address
1800 FORT HARRISON RD, TERRE HAUTE, IN 47804-1413
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12012383A
IN
Other
Enumeration date
07/09/2015
Last updated
07/09/2015
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