Individual
DHWANI ANKUR PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
195 S MAIN ST, DUPO, IL 62239-1347
(681) 286-4400
Mailing address
7037 MILLBROOK LN, O FALLON, IL 62269
(314) 498-8585
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019.034363
IL
Other
Enumeration date
04/21/2023
Last updated
06/20/2023
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