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Individual

DR. JYOTI DESHMANE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.M.D.

Contact information

Practice address
2012 BRIDGE ROAD, SKIPPACK, PA 19474-0137
(610) 222-8189
(610) 222-8121
Mailing address
9 CAMELOT WAY, HARLEYSVILLE, PA 19438-2910
(215) 368-3813
(610) 222-8121

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS-028689L
PA
1223G0001X
General Practice Dentistry
DS028689L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000000262309
PA
05
1926
PA
01
784857
UCCI PROV. ID
PA
Enumeration date
12/27/2006
Last updated
01/07/2023
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