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1800 Fort Harrison Rd Terra Haute IN 47804 | |
(678) 904-5665 | |
(678) 904-5665 |
Full Name | |
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Speciality | Dentist - General Practice |
Location | 1800 Fort Harrison Rd, Terra Haute, Indiana |
Authorized Official Name and Position | Tu Tran (PRESIDENT) |
Authorized Official Contact | 7709165036 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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1090 Northchase Pkwy Se Ste 150 Marietta GA 30067-6407 Ph: (770) 916-5028 | 1800 Fort Harrison Rd Terra Haute IN 47804 Ph: (678) 904-5665 |
NPI Number | 1750584009 |
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Provider Enumeration Date | 06/06/2007 |
Last Update Date | 03/22/2019 |
Identifier | Type | State | Issuer |
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1750584009 | NPI | - | NPPES |