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Organization
SMITA PATEL DES MOINES DMD PC
Active
Organization
SMITA PATEL DES MOINES DMD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MADISON LEHMAN (CREDENTIALING SPECIALIST)
(720) 603-4779
Entity
Organization
Contact information
Practice address
22506 MARINE VIEW DR S STE 101, DES MOINES, WA 98198-6906
(720) 603-4700
Mailing address
22506 MARINE VIEW DR S STE 101, DES MOINES, WA 98198-6906
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
NULL
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
11/10/2020
Last updated
04/21/2021
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