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Individual
MRS. SUSMITHA JASTI
Active
Individual
MRS. SUSMITHA JASTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
26353
TX
122300000X
Dentist
DN1855163
MA
Other
Enumeration date
07/01/2009
Last updated
03/03/2015
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