Individual
NIMISHA V PATEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
105 N VIRGINIA AVE STE 103, FALLS CHURCH, VA 22046-3323
(703) 533-1993
Mailing address
5805 SHANA PL, BURKE, VA 22015-3663
(703) 533-1993
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401410290
VA
Other
Enumeration date
12/25/2006
Last updated
07/08/2007
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