Organization
UPASNA GANDHI PC
Active
Other names
Elite Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. UPASNA GANDHI (DENTIST/OWNER)
(260) 447-1776
Entity
Organization
Contact information
Practice address
333 E TILLMAN RD, FORT WAYNE, IN 46816-1017
(260) 447-1776
Mailing address
333 E TILLMAN RD, FORT WAYNE, IN 46816-1017
(260) 447-1776
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300011966
—
IN
Enumeration date
10/12/2022
Last updated
10/12/2022
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