# SIMBA DENTAL, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1760238497
- **Authorized official:** RACHEL COMBS (PRACTICE COORDINATOR/OFFICE MANAGER)
- **Authorized official phone:** (260) 918-7110

## Contact information

- **Practice address:** 9606 COLDWATER RD, FORT WAYNE, IN 46825-2023
- **Practice address phone:** (260) 918-7110
- **Mailing address:** 9606 COLDWATER RD, FORT WAYNE, IN 46825-2023
- **Mailing address phone:** (260) 918-7110

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | — | Yes |
| 1223G0001X | General Practice Dentistry | — | — | — |

## Other

- **Enumeration date:** 04/24/2024
- **Last updated:** 04/24/2024