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Organization
VIRAJITHA VELICHALA DDS PC
Active
Organization
VIRAJITHA VELICHALA DDS PC
Active
Other names
MARVEL DENTAL
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VIRAJITHA VELICHALA DDS (PRESIDENT)
(216) 801-2718
Entity
Organization
Contact information
Practice address
2880 WALMART DR UNIT 2920, HUNTINGTON, IN 46750-7977
(216) 801-2718
Mailing address
11516 PRATO CV, FORT WAYNE, IN 46845-1385
(216) 801-2718
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
04/24/2023
Last updated
04/24/2023
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