Individual
DEEPA PANDIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
5500 COLUMBIA PIKE STE A, ARLINGTON, VA 22204-5867
(703) 671-5437
Mailing address
5205 MELROSE AVE, LOS ANGELES, CA 90038-3144
(323) 337-1789
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
55231
CA
1223P0221X
Pediatric Dentistry
Primary
0401417575
VA
Other
Enumeration date
10/17/2007
Last updated
02/14/2024
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