Terrific Teeth LLC

NPI #1548689193 in Lima, Ohio

Provider Information

NPI Number: 1548689193
Entity Type: Organization
Organization Name: Terrific Teeth LLC
Primary Specialty: Dentist - General Practice
Enumeration Date: Apr 10, 2014
Last Updated: Apr 10, 2014

Practice Location

Address: 3292 ELIDA RD
City: Lima
State: Ohio
ZIP Code: 45805-1249
Phone: (315) 454-6000

Authorized Official

Name: KURT LOSIER
Title: OWNER
Phone: (315) 454-6000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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