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General NPI Number Information
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NPI Number | 1720416332
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Entity Type | Organization
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Legal Business Name | DHAVAL PATEL DENTAL CORPORATION
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Dates
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Enumeration Date | 10/16/2013
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Last Update Date | 08/05/2022
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Provider Practice Location Address
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Address Line | 3000 DANVILLE BLVD STE A&B
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City | ALAMO
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State | CA
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Zip | 94507-1574
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Country | US
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Telephone | 925-820-2688
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Fax | 925-362-0623
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Provider Business Mailing Address
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Address Line | PO BOX 920050
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City | DALLAS
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State | TX
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Zip | 75392-0050
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Country | US
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Telephone | 714-845-8890
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Fax | 949-474-1495
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Authorized Official
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Title or Position | OWNER
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Name | DHAVAL PATEL
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Credential | D.D.S.
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Telephone | 925-820-2688
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State |
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