Individual
DEEPIKA MANKOTIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1501 PASADENA BLVD, PASADENA, TX 77502-2434
(832) 648-7900
Mailing address
6712 CORAL BELLS LN, DICKINSON, TX 77539-2215
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
35853
TX
Other
Enumeration date
01/27/2020
Last updated
01/27/2020
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