Individual
DR. PALLAVI PATIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
501 S PRESTON ST OFC ROOM245A, LOUISVILLE, KY 40202-1701
(502) 852-5065
(502) 852-7163
Mailing address
9003 GILPIN PL APT 7, LOUISVILLE, KY 40222-5281
(425) 365-2192
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
10641
KY
Other
Enumeration date
06/21/2021
Last updated
03/06/2022
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