Geethadevi Koneru, DDS
NPI 1033593587 · on the registry since 2015 · sole proprietor
Practice
- Address
- 5328 Coldwater Rd
Fort Wayne, IN 46825 - Phone
- (888) 988-4066
- Organisation at this address
- Familia Dental Fort Wayne Pllc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 10
Registry record
- Primary taxonomy
- Dentist
122300000X
- Licence states on file
- IN
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2015-07-15
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana