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Individual

DR. DEEPTHI MAYA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1652 N BUSINESS RT 5, CAMDENTON, MO 65020
(877) 406-2662
Mailing address
126 RAEF RD, LEBANON, MO 65536-4486
(765) 492-9042

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
016.0134149
VT
122300000X
Dentist
Primary
2024000916
MO

Other

Enumeration date
11/15/2022
Last updated
06/25/2025
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