Individual
ZELALEM BOGALE AMARE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1717 S CALHOUN ST, FORT WAYNE, IN 46802-5257
(260) 458-2641
Mailing address
1717 S CALHOUN ST, FORT WAYNE, IN 46802-5257
(260) 458-2601
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12014814A
IN
Other
Enumeration date
03/28/2023
Last updated
07/31/2025
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