Organization
214 DENTAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NILAM PATEL DDS (OWNER)
(267) 495-7393
Entity
Organization
Contact information
Practice address
2580 W CAMP WISDOM RD STE 300, GRAND PRAIRIE, TX 75052-3091
(972) 408-0408
Mailing address
4116 SAGUARO LN, IRVING, TX 75063-1242
(026) 749-5739
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
01/14/2021
Last updated
01/14/2021
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