| Full Name | Terrific Teeth Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3292 Elida Rd, Lima, Ohio |
| Authorized Official Name and Position | Kurt Losier (OWNER) |
| Authorized Official Contact | 3154546000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Terrific Teeth Llc Po Box 3189 Syracuse NY 13220-3189 Ph: (315) 454-6000 | Terrific Teeth Llc 3292 Elida Rd Lima OH 45805-1249 Ph: (315) 454-6000 |
| NPI Number | 1548689193 |
|---|---|
| Provider Enumeration Date | 04/10/2014 |
| Last Update Date | 04/10/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548689193 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 24132 (Ohio) | Primary |
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