Individual
MIRA KRISHNAKANT PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2301 E ALLEGHENY AVE, PHILADELPHIA, PA 19134-4427
(570) 690-6507
Mailing address
238 S 13TH ST APT 2F, PHILADELPHIA, PA 19107-5626
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
DS045240
PA
Other
Enumeration date
05/27/2025
Last updated
06/27/2025
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