Individual
PRIYANKA J PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
2910 TRIMBLE RD STE 109, COLUMBIA, MO 65201-7126
(573) 303-5956
Mailing address
3908 CREEKFRONT WAY, COLUMBIA, MO 65203-0691
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2020022623
MO
Other
Enumeration date
07/21/2020
Last updated
07/21/2020
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