Individual
PRUTHA PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
6111 S CEDAR ST, LANSING, MI 48911-5714
(517) 393-3447
Mailing address
1243 STARWOOD LN UNIT 25, CANTON, MI 48187-6636
(484) 506-4816
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901601453
MI
Other
Enumeration date
05/09/2022
Last updated
02/11/2023
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