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Individual
DEVISREE NEKKANTI
Active
Individual
DEVISREE NEKKANTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
35850
TX
1223G0001X
General Practice Dentistry
35850
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1093294233
—
TX
01
—
45859384
DRIVERS LISCENCE
TX
Enumeration date
08/08/2018
Last updated
12/05/2022
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