Individual
DR. TUSHAR UDESHI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
367 ROUTE 120 UNIT C, LEBANON, NH 03766-1430
(603) 643-4142
(603) 643-1740
Mailing address
367 ROUTE 120 UNIT C, LEBANON, NH 03766-1430
(516) 728-4159
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
04801
NH
122300000X
Dentist
051814
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02671823
—
NY
Enumeration date
02/08/2007
Last updated
01/26/2023
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