Individual
DR. DEEPTHI MUNDRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
SMILE CARE, PLLC, 1237 HIGHWAY 35 S, FOREST, MS 39074-8830
(601) 469-8266
(601) 469-8294
Mailing address
102 CHILTON PL, MADISON, MS 39110-7810
(773) 844-3439
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6907-15
WI
Other
Enumeration date
06/06/2012
Last updated
12/07/2021
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