Individual
DHARA PATEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1812 BROADWAY ST, MELROSE PARK, IL 60160-2039
(312) 771-5380
Mailing address
930 OMAHA DR, NORCROSS, GA 30093-4964
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019030821
IL
Other
Enumeration date
07/25/2016
Last updated
07/25/2016
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