Individual
BRITTANIE LEE PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1001 STURDY RD, VALPARAISO, IN 46383-4126
(219) 462-7173
(219) 462-7504
Mailing address
421 CHADWICK CIR, VALPARAISO, IN 46385-8080
(219) 508-4935
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12012718A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300003140
—
IN
Enumeration date
06/02/2017
Last updated
05/26/2021
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