Individual
HIMANI RADADIYA AKA PATEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
260 DIANNA DR, PROSPER, TX 75078-9499
(405) 673-9868
Mailing address
260 DIANNA DR, PROSPER, TX 75078-9499
(405) 673-9868
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
40696
TX
Other
Enumeration date
06/20/2024
Last updated
06/20/2024
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