Individual
ANURADHA PATIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
4441 BASS PRO DR # 200, GARLAND, TX 75043-4837
(972) 349-6320
Mailing address
413 PATAGONIAN PL, ALLEN, TX 75013-4788
(214) 802-9095
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
26075
TX
1223G0001X
General Practice Dentistry
59724
CA
Other
Enumeration date
09/07/2010
Last updated
04/23/2018
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