# AFFORDABLE DENTURES & IMPLANTS - FORT WAYNE III, P.C.

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

## Provider details

- **NPI number:** 1922721208
- **Authorized official:** PRAVEENA ALURI DMD (OWNER)
- **Authorized official phone:** (260) 436-7175

## Contact information

- **Practice address:** 7810 W JEFFERSON BLVD, FORT WAYNE, IN 46804-4138
- **Practice address phone:** (260) 436-7175
- **Mailing address:** 7810 W JEFFERSON BLVD, FORT WAYNE, IN 46804-4138
- **Mailing address phone:** (260) 436-7175

## Taxonomy

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

## Other

- **Enumeration date:** 09/22/2022
- **Last updated:** 09/22/2022