| 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 |