Individual
DR. LISA PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S
Contact information
Practice address
28160 OLD VILLAGE RD, MECHANICSVILLE, MD 20659-4289
(301) 884-9594
Mailing address
723 WINTON AVE, GLEN BURNIE, MD 21061-2479
(410) 761-5615
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
14570
MD
Other
Enumeration date
07/12/2010
Last updated
07/12/2010
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