Individual
DR. NISHA SANJAY PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
6837 NORMANDY DR BLDG B, FORT BRAGG, NC 28310-0001
(910) 396-1444
Mailing address
BLDG 38717, 38TH STREET, FORT GORDON, GA 30905
(706) 787-6927
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DS039632
PA
1223P0700X
Prosthodontics
Primary
13043
NC
Other
Enumeration date
07/02/2013
Last updated
03/13/2023
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