Individual
DR. SWETHA DEEKSHITULU VEMPATI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BDS, MS, DDS
Contact information
Practice address
1420 MARVIN RD NE STE D, LACEY, WA 98516-3878
(360) 873-0132
Mailing address
1420 MARVIN RD NE STE D, LACEY, WA 98516-3878
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DE61564398
WA
1223G0001X
General Practice Dentistry
DE61564398
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2351322
—
WA
Enumeration date
07/11/2024
Last updated
03/30/2026
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