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NPI Code Detail

MEDICARE: RIA PATEL DDS

MEDICARE: RIA PATEL DDS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice Dentistry30.026592OH

General Provider Information

NPI Number : 1669120218
Entity Type Code : Individual
Provider Name (Legal Business Name) : RIA PATEL DDS
Provider Business Mailing Address
First Line : 2567 SPYGLASS DR
Second Line :
City : OAKLAND
State : MI
Zip : 48363-2463
Country : US
Telephone Number : 248-884-2355
Fax Number :
Provider Business Practice Location Address
First Line : 1203 SALEM AVE
Second Line :
City : DAYTON
State : OH
Zip : 45406-5044
Country : US
Telephone Number : 937-275-7448
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/14/2022
Last Update Date : 03/14/2022

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