Absolute Smile LLC
Dentist in Evansville, IN. Organization (NPI-2).
NPI number1780974170
StatusActive
Last updated in NPPESApr 19, 2011
Details
- NPI
- 1780974170
- Entity type
- Organization (NPI-2)
- Legal business name
- Absolute Smile LLC
- Organization subpart
- No
- Enumeration date
- Apr 19, 2011
- Last updated
- Apr 19, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | 12009414a | IN | Yes |
Practice location
5200 Washington Ave Ste EEvansville, IN 47715-4863
Phone 812-488-2008 · Fax 812-475-9831
Mailing address
2120 N Cullen AveEvansville, IN 47715-2111
Phone 812-488-2008 · Fax 812-475-9831
Authorized official
David G Price
Vice President
8124882008
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