Individual
SATISH KUMAR GUJJARLAPUDI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
5328 COLDWATER RD, FORT WAYNE, IN 46825-5445
(888) 988-4066
(847) 496-4850
Mailing address
2050 E ALGONQUIN RD STE 610, SCHAUMBURG, IL 60173-4166
(888) 988-4066
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12013219A
IN
Other
Enumeration date
06/26/2019
Last updated
06/26/2019
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