Amruta Shirbhate
Dentist, General Practice in Fort Wayne, IN. Individual provider (NPI-1).
NPI number1962020495
StatusActive
Last updated in NPPESJul 10, 2020
Details
- NPI
- 1962020495
- Entity type
- Individual (NPI-1)
- Name
- Amruta Shirbhate
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jul 10, 2020
- Certification date
- Jul 10, 2020
- Last updated
- Jul 10, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 12013435A | IN | Yes |
Practice location
5328 Coldwater RdFort Wayne, IN 46825-5445
Phone 888-988-4066
Mailing address
2050 E Algonquin RdSchaumburg, IL 60173-4144
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