Individual
DR. POOJA PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
8430 PERSHALL RD, HAZELWOOD, MO 63042-3075
(314) 527-0159
Mailing address
3354 BRIDGETON TRAILS DR, BRIDGETON, MO 63044-2876
(314) 402-9908
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2016016884
MO
Other
Enumeration date
06/06/2016
Last updated
06/06/2016
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