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Individual
AMEE PATHAK
Active
Individual
AMEE PATHAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D.
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
25967
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2010020531
PEDIACTRICS
MO
05
—
2010020531
—
MO
Enumeration date
07/15/2010
Last updated
02/17/2018
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