Organization
ORTHODONTIC EXPERTS OF INDIANA, LLC
Active
Parent organization
ORTHODONTIC EXPERTS OF INDIANA, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
ORTHODONTIC EXPERTS OF INDIANA, LLC
Authorized official
IRENA RAKHMETZYANOV (VP)
(224) 628-0322
Entity
Organization
Contact information
Practice address
5997 CENTRAL AVE, PORTAGE, IN 46368-2944
(219) 232-9056
Mailing address
5997 CENTRAL AVE, PORTAGE, IN 46368-2944
(219) 232-9056
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
02/20/2026
Last updated
02/20/2026
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