Individual
DR. DEEPIKA MAHANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
2100 S DUMAS AVE, DUMAS, TX 79029-6113
(650) 267-0115
Mailing address
4704 N UNIVERSITY DR, APT 1025, NACOGDOCHES, TX 75965
(650) 267-0115
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
32388
TX
Other
Enumeration date
09/23/2016
Last updated
09/23/2016
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