Individual
DEEPA KASTOORI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
343 W SIDE DR, APT#204, GAITHERSBURG, MD 20878-3033
(513) 658-8234
Mailing address
343 W SIDE DR, APT#204, GAITHERSBURG, MD 20878-3033
(513) 658-8234
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
15612
MD
Other
Enumeration date
07/15/2014
Last updated
07/15/2014
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