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Individual
DEEPAK MEHTA
Active
Individual
DEEPAK MEHTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
22DI02571600
NJ
122300000X
Dentist
DS039980
PA
Other
Enumeration date
06/23/2014
Last updated
06/23/2014
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