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Organization
DHRUVKUMAR PATEL DDS PLLC
Active
Organization
DHRUVKUMAR PATEL DDS PLLC
Active
Other names
Divine Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DHRUVKUMAR JITENDRA PATEL DDS (PRESIDENT)
(714) 404-5978
Entity
Organization
Contact information
Practice address
966 N GARDEN RIDGE BLVD STE 510, LEWISVILLE, TX 75077-2876
(469) 240-5590
(469) 240-5591
Mailing address
3316 CANYON LAKE DR, LITTLE ELM, TX 75068-2791
(714) 404-5978
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
—
—
1223G0001X
General Practice Dentistry
Primary
—
—
261QD0000X
Dental Clinic/Center
—
—
Other
Enumeration date
07/18/2022
Last updated
09/18/2022
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