Jethwa, Deepali Nilesh

Jethwa, Deepali Nilesh is an individual health care provider with primary practice located at 1209 W Broward Blvd , Fort Lauderdale FL 33312-1640. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Jethwa, Deepali Nilesh can be contacted via phone (954) 763-3358.

Contact Information

Primary practice address
1209 W Broward Blvd Fort Lauderdale FL 33312-1640
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X DN16368 Florida

Profile Details

NPI number 1043368251
LBN Legal business name Jethwa, Deepali Nilesh
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 8th, 2007
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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