Optim Dental LLC
NPI #1265820906 in Springfield, Illinois
Provider Information
- NPI Number
- 1265820906
- Entity Type
- Organization
- Organization Name
- Optim Dental LLC
- Primary Specialty
- Dentist
- Enumeration Date
- Jan 5, 2015
- Last Updated
- Jan 5, 2015
Practice Location
- Address
- 907 S 6TH ST
- City
- Springfield
- State
- Illinois
- ZIP Code
- 62703-2401
- Phone
- (217) 971-3432
Authorized Official
- Name
- SRINIVAS DURSHANAPALLI
- Title
- PRESIDENT
- Phone
- (203) 215-4687
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
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