Individual
DR. SAMPADA JAYANT DESHPANDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
4811 WA TAU GA AVE NE, TACOMA, WA 98422-1799
(253) 927-9883
(253) 925-2153
Mailing address
2014 MILDRED ST W, UNIVERSITY PLACE, WA 98466-6134
(253) 566-0900
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
103061
CA
1223G0001X
General Practice Dentistry
Primary
60861386
WA
Other
Enumeration date
08/14/2018
Last updated
05/27/2020
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