| Lotus Dental Inc | |
|
6502 Grape Rd Ste 882 Mishawaka IN 46545-1102 | |
| (574) 345-0345 | |
| (574) 345-0344 |
| Full Name | Lotus Dental Inc |
|---|---|
| Speciality | Dentist |
| Location | 6502 Grape Rd Ste 882, Mishawaka, Indiana |
| Authorized Official Name and Position | Hari Priya Anne (DENTIST - PRESIDENT) |
| Authorized Official Contact | 5743450345 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lotus Dental Inc 6502 Grape Rd Ste 882 Mishawaka IN 46545-1102 Ph: (574) 345-0345 | Lotus Dental Inc 6502 Grape Rd Ste 882 Mishawaka IN 46545-1102 Ph: (574) 345-0345 |
| NPI Number | 1093547838 |
|---|---|
| Provider Enumeration Date | 08/19/2024 |
| Last Update Date | 08/19/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093547838 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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