Individual
DR. DEEPTHI JANGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1329 E TENNESSEE ST, TALLAHASSEE, FL 32308-5107
(850) 878-7999
Mailing address
2455 ORANGE AVE E, TALLAHASSEE, FL 32311-6109
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN24333
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DN24333
DENTAL LICENSE NUMBER
FL
Enumeration date
06/19/2019
Last updated
08/26/2019
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