Individual
DEEPA PATEL JUTHANI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1020 LEE ANN DR NE, CONCORD, NC 28025-2911
(704) 795-1055
Mailing address
506 ARBOR LN, CENTERVILLE, GA 31028-8606
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
10956
SC
122300000X
Dentist
Primary
12409
NC
Other
Enumeration date
03/17/2020
Last updated
05/06/2025
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