NPI | 1427406370 |
---|---|
Former Name | MANALI DESHPANDE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: MD LL882) |
Additional Taxonomies | 122300000X Dentist (Licence: PA DS040001) |
Enumeration Date | 2016-06-01 |
Last Update Date | 2021-06-04 |