Individual
SHIVANI PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
931 SMITH ST, PROVIDENCE, RI 02908-2704
(401) 521-5528
Mailing address
903 PROVIDENCE PL APT 256, PROVIDENCE, RI 02903-7008
(219) 951-2735
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DEN03349
RI
Other
Enumeration date
07/17/2017
Last updated
07/17/2017
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