Individual
DR. HIREN PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8085 W BELL RD, SUITE 103, PEORIA, AZ 85382-3825
(623) 486-5430
(623) 878-6467
Mailing address
3935 E ROUGH RIDER RD, #1024, PHOENIX, AZ 85050-7346
(804) 536-5169
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
0401411556
VA
1223P0221X
Pediatric Dentistry
Primary
8085
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
548413
AHCCCS
AZ
05
—
9183735
—
VA
Enumeration date
11/01/2006
Last updated
11/17/2010
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