Organization
ONE FAMILY DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SUDHAKAR SANTHANA KRISHNAN (CEO)
(260) 750-0418
Entity
Organization
Contact information
Practice address
2826 S STATE ROAD 135 STE C, GREENWOOD, IN 46143-9603
(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
11/30/2022
Last updated
11/30/2022
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