Individual
DEEPA PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
460 KELLER PKWY # C2, KELLER, TX 76248-2370
(817) 482-1555
Mailing address
110 BERGEN ST, NEWARK, NJ 07103-2495
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
33708
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/04/2016
Last updated
01/11/2021
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