CHAITALI H MINAMA

FORT WAYNE, IN
NPI1053099507
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy122300000X Dentist
(Licence: IN  12014194A)
Additional Taxonomies122300000X Dentist
(Licence: NV  8017)
Enumeration Date2023-07-06
Last Update Date2024-06-12
Business Address
CHAITALI H MINAMA
4512 PARNELL AVE
FORT WAYNE, IN 46825-5836
Phone number: 260-238-8899
Mailing Address
CHAITALI H MINAMA
8777 PURDUE RD STE 115
INDIANAPOLIS, IN 46268-3104
Phone number: 219-234-2345