| Lasting Impressions Dental Llc | |
|
14649 N Gray Rd Westfield IN 46062-9274 | |
| (317) 571-9610 | |
| Not Available |
| Full Name | Lasting Impressions Dental Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 14649 N Gray Rd, Westfield, Indiana |
| Authorized Official Name and Position | Jamie Vilk (MANAGER) |
| Authorized Official Contact | 2174634110 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lasting Impressions Dental Llc 522 E Jasper St Paris IL 61944-2437 Ph: (217) 348-7770 | Lasting Impressions Dental Llc 14649 N Gray Rd Westfield IN 46062-9274 Ph: (317) 571-9610 |
| NPI Number | 1437881224 |
|---|---|
| Provider Enumeration Date | 06/29/2022 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437881224 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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