Individual
DR. DEEPA MADHAVAN IPEKTCHI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
3299 CHERRYWOOD DR, WANTAGH, NY 11793-1827
(516) 785-5239
Mailing address
6 FATHERS CT, DIX HILLS, NY 11746-4929
(516) 238-1873
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
048156
NY
Other
Enumeration date
01/21/2013
Last updated
01/21/2013
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