Individual
SUNIT PATEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4014 LEAVENWORTH ST, OMAHA, NE 68118
(402) 559-5999
Mailing address
4014 LEAVENWORTH ST, OMAHA, NH 68118
(402) 559-5999
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7825
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7825
NEBRASKA DENTAL LICENCE
—
Enumeration date
06/30/2022
Last updated
06/30/2022
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