Individual
DIVYESH R PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
95-1249 MEHEULA PKWY STE 115, MILILANI, HI 96789-1786
(551) 580-2016
Mailing address
284 BOUGAINVILLEA LOOP, HONOLULU, HI 96818-4123
(551) 580-2016
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2552
HI
1223G0001X
General Practice Dentistry
29363
TX
Other
Enumeration date
08/06/2013
Last updated
11/04/2014
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