Individual
DR. DEWANSI H PATEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4404 16TH ST, MOLINE, IL 61265-7012
(309) 764-8700
Mailing address
421 19TH ST APT 1401, MOLINE, IL 61265-7605
(714) 873-4509
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019032479
IL
122300000X
Dentist
DDS-10055
IA
Other
Enumeration date
03/03/2020
Last updated
04/21/2023
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