Individual
DR. PRASHANT PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1502 W BLUE STARR DR, CLAREMORE, OK 74017-3202
(918) 347-5553
Mailing address
302 N PARK DR, BROKEN BOW, OK 74728-2964
(580) 236-9110
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7721
OK
Other
Enumeration date
06/05/2023
Last updated
06/05/2023
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