Individual
DHARA PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1620 MAIN ST, SW D, LOS LUNAS, NM 87031
(505) 565-0651
Mailing address
1620 MAIN ST, SW D, LOS LUNAS, NM 87031
(505) 565-0651
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DB-2023-0142
NM
Other
Enumeration date
06/20/2023
Last updated
07/12/2023
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