Healthcare Provider Details

I. General information

NPI: 1114497401
Provider Name (Legal Business Name): DHWARKADHISH PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/28/2018
Last Update Date: 06/11/2024
Certification Date: 06/11/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12835 PRESTON RD STE 217
DALLAS TX
75230-1451
US

IV. Provider business mailing address

12835 PRESTON RD STE 217
DALLAS TX
75230-1451
US

V. Phone/Fax

Practice location:
  • Phone: 972-629-9339
  • Fax: 972-629-9838
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number
License Number State

VIII. Authorized Official

Name: SUJALKUMAR PATEL
Title or Position: DDS
Credential:
Phone: 201-665-5557