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Individual

DR. DEEPALI MEHTA BHANOT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.M.D.

Contact information

Practice address
20400 OBSERVATION DR, # 208, GERMANTOWN, MD 20876-4085
(301) 528-8685
(301) 528-2051
Mailing address
20400 OBSERVATION DR, # 208, GERMANTOWN, MD 20876-4085
(301) 528-8685
(301) 528-2051

Taxonomy

Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
11954
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
119591300
MD
Enumeration date
05/23/2005
Last updated
05/11/2023
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