Organization
IN-OFFICE DENTAL SPECIALISTS, PLLC
Active
Other names
Wellspring Periodontics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANKUR PATEL DDS, MS (PERIODONTIST)
(312) 834-3368
Entity
Organization
Contact information
Practice address
2780 FM 1463 RD STE 203, KATY, TX 77494-7938
(312) 834-3368
Mailing address
2780 FM 1463 RD STE 203, KATY, TX 77494-7938
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
08/02/2017
Last updated
08/02/2017
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