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Organization
MANISHA DESAI PATEL DDS
Active
Organization
MANISHA DESAI PATEL DDS
Active
Parent organization
MANISHA DESAI PATEL DDS
Organization subpart
Yes
Provider details
NPI number
Legal business name
MANISHA DESAI PATEL DDS
Authorized official
PARESH B PATEL DDS (OWNER)
(828) 754-7881
Entity
Organization
Contact information
Practice address
310 MULBERRY ST SW, LENOIR, NC 28645-5721
(828) 754-7881
(828) 754-5391
Mailing address
310 MULBERRY ST SW, LENOIR, NC 28645
(828) 754-7881
(828) 754-5391
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
6771
NC
1223G0001X
General Practice Dentistry
Primary
6332
NC
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
8154
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5905741
—
NC
05
—
899008A
—
NC
05
—
899008C
—
NC
Enumeration date
09/26/2007
Last updated
01/26/2012
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