Organization
ONE FAMILY DENTAL WARREN, LLC
Active
Parent organization
ONE FAMILY DENTAL
Other names
One Family Dental
Organization subpart
Yes
Provider details
NPI number
Legal business name
ONE FAMILY DENTAL
Authorized official
MR. SUDHAKAR SANTHANA KRISHNAN (CEO)
(260) 750-0418
Entity
Organization
Contact information
Practice address
1260 N POST RD STE A, INDIANAPOLIS, IN 46219-4250
(260) 750-0418
Mailing address
10404 ANTELOPE CT, FORT WAYNE, IN 46804-4909
(260) 750-0418
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
02/10/2023
Last updated
02/10/2023
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