Individual
SHIVANI A PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
10 MEDICAL PARK, PH RICHLAND DENTAL DEPARTMENT -, COLUMBIA, SC 29203
(803) 434-6567
(803) 434-6299
Mailing address
121 WILDEWOOD PARK DR, COLUMBIA, SC 29223-4300
(803) 736-5300
(803) 736-1422
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7066
SC
Other
Enumeration date
04/03/2012
Last updated
04/18/2024
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