Individual
DR. PREM PATEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD MD
Contact information
Practice address
2220 W INTERSTATE 20, STE 300, ARLINGTON, TX 76017
(214) 317-4039
Mailing address
2805 BAZE RD, EULESS, TX 76039-7859
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
37153
TX
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
021.002766
IL
208600000X
Surgery Physician
036.141884
IL
208600000X
Surgery Physician
Primary
T1511
TX
Other
Enumeration date
05/05/2010
Last updated
08/25/2021
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