Individual
DIPA JAYANTI PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
3801 FAIRFAX DR, SUITE 20, ARLINGTON, VA 22203-1762
(703) 566-1908
(703) 566-1361
Mailing address
10418 LOWERY CT, MANASSAS, VA 20111-4394
(703) 597-5990
(703) 566-1361
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
0438000298
VA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
14434
MD
Other
Enumeration date
05/19/2008
Last updated
12/15/2016
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