NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1679660278 |   |   |   | KOOL SMILES IN FT. WAYNE, PC | 1090 NORTHCHASE PKWY SE STE 150 | MARIETTA | GA | 300676407 |
1932402609 | AGYEMAN | DOREEN | Y |   | 1090 NORTHCHASE PKWY SE | MARIETTA | GA | 300676405 |
1811083249 | GROSS | KENT |   |   | 13214 BOARSTONE CV | FORT WAYNE | IN | 468458730 |
1952497166 | JOSHI | AJAY |   |   | 12989 ROCKY POINTE RD | MC CORDSVILLE | IN | 460559584 |