Individual
DR. DEEPAK DEVARAJAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D
Contact information
Practice address
617 RIVERSIDE AVE, BURLINGTON, VT 05401-1601
(802) 864-6309
(802) 860-4324
Mailing address
617 RIVERSIDE AVE, BURLINGTON, VT 05401-1601
(802) 864-6309
(802) 860-4324
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0160002270
VT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/24/2007
Last updated
06/17/2008
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