Individual
SHWETA DESHMUKH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
4753 VALLEY VIEW BLVD NW, ROANOKE, VA 24012-2000
(540) 682-7165
Mailing address
10 AZALEA CT, MONMOUTH JUNCTION, NJ 08852
(408) 757-3404
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401416589
VA
Other
Enumeration date
07/12/2019
Last updated
09/11/2019
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