Deepthi Mundra, DDS Valid NPI
Individual provider · General Practice Dentistry · Forest, MS
- NPI
- 1396006458
- Type
- Individual (Type 1)
- Primary specialty
- General Practice Dentistry (Dentist)
- Specialty group
- Dental Providers
- Taxonomy code
- 1223G0001X
- License number
- 6907-15 (WI)
- Sex
- Female
- Sole proprietor
- Yes
- Enumerated
- 2012-06-06
- Last updated
- 2021-12-07
Practice location
Smile Care, Pllc, 1237 Highway 35 S
Forest, MS 39074-8830
(601) 469-8266