Suresh Kumar Varma Vegesana DDS

NPI 1063724805 - Dentist - 122300000X

NPI Details
NPI 1063724805
Gender Male
Enumeration Date 07/09/2010
Last Updated 05/17/2016
Entity Type Individual
Active Over 6 years ago
Practice Location
4512 PARNELL AVE
FORT WAYNE IN, 46825-5836, US
Phone (260) 399-1333
Fax (260) 755-3271
Business Location
4512 PARNELL AVE
FORT WAYNE IN, 46825-5836, US
Phone (260) 399-1333
Fax
Toxanomy
Taxonomy Code 122300000X
License State Illinois
License Number 019028411
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According to our database, Dr. Suresh Kumar Varma Vegesana DDS NPI is 1063724805, taxonomy code is 122300000X and license number is 019028411, license state is located at Illinois. Suresh Kumar Varma Vegesana DDS physically located at 4512 Parnell Ave, Fort Wayne IN, 46825-5836. NPI Number Suresh Kumar Varma Vegesana DDS has the Individual type.

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1063724805 NPI number is provided on an as is basis without warranty of any kind. 1063724805 is maintained by the National Plan & Provider Enumeration System. The contents of Suresh Kumar Varma Vegesana DDS are for informational purposes only.