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Individual

DI XIE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DDS

Contact information

Practice address
10218 CHESTNUT PLAZA DR, FORT WAYNE, IN 46814-8970
(260) 490-9684
Mailing address
7310 SADDLEBACK CT APT 308, FORT WAYNE, IN 46804-2392
(785) 979-0559

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12014398A
IN

Other

Enumeration date
06/05/2024
Last updated
06/11/2024
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