Individual
DHANISH PATEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1901 W WILLIAM CANNON DR STE 143, AUSTIN, TX 78745-5327
(214) 500-3937
Mailing address
3044 TUPELO LN, SUNNYVALE, TX 75182-4033
(214) 500-3937
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
32132
TX
332B00000X
Durable Medical Equipment & Medical Supplies
32132
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/09/2016
Last updated
09/26/2018
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