Individual
DR. KISHAN MUKESH PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
230 CARROLL ST STE 3, SHREVEPORT, LA 71105-4248
(318) 299-1520
Mailing address
1968 AIRLINE DR, BOSSIER CITY, LA 71112-2408
(318) 564-4652
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7330
LA
Other
Enumeration date
05/23/2022
Last updated
05/23/2022
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