Individual
DR. ASHOK V DESHPANDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
20508 SOUTHGATE PARK BLVD, MAPLE HEIGHTS, OH 44137-2900
(216) 663-2292
Mailing address
27765 MARQUETTE BLVD, NORTH OLMSTED, OH 44070-1759
(440) 734-3727
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
20716
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2053692
—
OH
01
—
341940255028
CARESOURCE
OH
Enumeration date
08/31/2006
Last updated
07/08/2007
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