Individual
DR. VIRAJITHA VELICHALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2880 WALMART DR UNIT 2920, HUNTINGTON, IN 46750-7977
(260) 200-4100
Mailing address
11516 PRATO CV, FORT WAYNE, IN 46845-1385
(216) 801-2718
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12012771A
IN
Other
Enumeration date
07/03/2017
Last updated
04/05/2024
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