Individual
DEEPIKA KUMAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
4140 THIELMAN LN STE 302, SAINT CLOUD, MN 56301-3897
(320) 252-7752
(320) 252-2289
Mailing address
4140 THIELMAN LN STE 302, SAINT CLOUD, MN 56301-3897
(320) 252-7752
(320) 252-2289
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D13897
MN
Other
Enumeration date
07/28/2017
Last updated
02/21/2018
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