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1891345955
SANDEEP PASUMARTHY
FORT WAYNE, IN
NPI
1891345955
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: IN 12013266A)
Enumeration Date
2019-09-19
Last Update Date
2019-09-19
Business Address
SANDEEP PASUMARTHY
5328 COLDWATER RD
FORT WAYNE, IN 46825-5445
Phone number: 888-988-4066
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Mailing Address
SANDEEP PASUMARTHY
2050 E ALGONQUIN RD STE 610
SCHAUMBURG, IL 60173-4166
Phone number: 888-988-4066
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