Individual
DR. JIGNA PATEL MAHAPATRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
515 DELAWARE ST SE, MINNEAPOLIS, MN 55455-0357
(507) 269-6533
Mailing address
515 DELAWARE ST, SE U OF MN, U OF MN SCHOOL OF DENTISTRY, MINNEAPOLIS, MN 55424
(507) 269-6533
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
0401411671
VA
122300000X
Dentist
Primary
D11875
MN
Other
Enumeration date
08/05/2007
Last updated
08/14/2014
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