Organization
HEMA PATEL DDS, LLC
Active
Other names
Wisteria Dental Care
Organization subpart
No
Provider details
NPI number
Authorized official
HEMA K PATEL D.D.S (DENTIST/OWNER)
(301) 515-0030
Entity
Organization
Contact information
Practice address
19729 EXECUTIVE PARK CIR, GERMANTOWN, MD 20874-2642
(301) 515-0030
(301) 515-0031
Mailing address
19729 EXECUTIVE PARK CIR, GERMANTOWN, MD 20874-2642
(301) 515-0030
(301) 515-0031
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
15169
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
078970400
—
MD
Enumeration date
06/09/2015
Last updated
06/09/2015
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