Individual
DR. TETLU A MYINT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3401 E RAYMOND ST, INDIANAPOLIS, IN 46203-4744
(317) 957-2100
Mailing address
4508 W 28TH ST, INDIANAPOLIS, IN 46222-1506
(317) 752-9356
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12012933A
IN
Other
Enumeration date
06/05/2018
Last updated
06/05/2018
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