Individual
DR. SURESH KUMAR VARMA VEGESANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
4512 PARNELL AVE, FORT WAYNE, IN 46825-5836
(260) 399-1333
(260) 755-3271
Mailing address
4512 PARNELL AVE, FORT WAYNE, IN 46825-5836
(260) 399-1333
(260) 755-3271
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
019028411
IL
122300000X
Dentist
Primary
12012081A
IN
Other
Enumeration date
07/09/2010
Last updated
05/17/2016
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