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Individual

DR. VIJAY RAJ MAHESHWARI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
5521 W LINCOLN HWY STE 215, CROWN POINT, IN 46307-1098
(219) 472-0042
(219) 472-0023
Mailing address
3647 BRIDGEPOINTE, OWENSBORO, KY 42303-1791
(219) 472-0042
(219) 472-0023

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
0401417584
VA
122300000X
Dentist
10695
KY
122300000X
Dentist
Primary
12013703A
IN

Other

Enumeration date
09/17/2021
Last updated
06/01/2023
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