Individual
SRAVANTHI PAPISETTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BDS
Contact information
Practice address
1320 MEDICAL PARK DR, FORT WAYNE, IN 46825-5844
(304) 384-0608
Mailing address
545 OVERTURE DR, FORT WAYNE, IN 46845-0076
(304) 384-0608
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
12013928A
IN
Other
Enumeration date
07/12/2017
Last updated
04/05/2023
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