# 214 DENTAL PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1336738376
- **Authorized official:** NILAM PATEL DDS (OWNER)
- **Authorized official phone:** (267) 495-7393

## Contact information

- **Practice address:** 2580 W CAMP WISDOM RD STE 300, GRAND PRAIRIE, TX 75052-3091
- **Practice address phone:** (972) 408-0408
- **Mailing address:** 4116 SAGUARO LN, IRVING, TX 75063-1242
- **Mailing address phone:** (026) 749-5739

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 01/14/2021
- **Last updated:** 01/14/2021