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Individual

DEEPA VENUGOPAL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
5330 E MOCKINGBIRD LN, SUITE 120, DALLAS, TX 75206-0940
(214) 821-5011
Mailing address
5330 E MOCKINGBIRD LN, SUITE 120, DALLAS, TX 75206-0940
(214) 821-5011

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
30974
TX

Other

Enumeration date
06/24/2015
Last updated
12/31/2015
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