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Individual

DR. MANIKA PATEL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DDS

Contact information

Practice address
2005 MEADOW BND, SHREVEPORT, LA 71118-4852
(318) 617-6440
(318) 210-0800
Mailing address
14122 W MCDOWELL RD STE 200, GOODYEAR, AZ 85395-2505
(318) 617-6440
(318) 210-0800

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5935
LA

Other

Enumeration date
11/05/2008
Last updated
07/31/2013
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