Olive Branch Dental LLC

NPI #1053904409 in Greenwood, Indiana

Provider Information

NPI Number
1053904409
Entity Type
Organization
Organization Name
Olive Branch Dental LLC
Primary Specialty
Dentist - General Practice
Enumeration Date
Feb 17, 2021
Last Updated
Mar 3, 2021

Practice Location

Address
2826 S STATE ROAD 135 STE C
State
Indiana
ZIP Code
46143-9603
Phone
(317) 743-7777

Authorized Official

Name
DR. SRINIVAS DURSHANAPALLI, DDS
Title
MANAGING PARTNER
Phone
(217) 303-5955

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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