Organization
PRIORITY ENDODONTICS LLC
Active
Other names
Priority Endodontics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAJAN GUPTA DDS (OWNER DENTIST)
(260) 888-3502
Entity
Organization
Contact information
Practice address
9918 ILLINOIS RD, FORT WAYNE, IN 46804-5770
(414) 522-7325
Mailing address
5483 COVENTRY LN APT 301, FORT WAYNE, IN 46804-7182
(213) 399-0393
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
—
—
Other
Enumeration date
05/16/2022
Last updated
04/11/2024
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