Individual
NISHAL PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
44345 PREMIER PLZ, SUITE 220, ASHBURN, VA 20147-5053
(703) 729-6222
Mailing address
44345 PREMIER PLZ, SUITE 220, ASHBURN, VA 20147-5053
(703) 729-6222
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401415162
VA
Other
Enumeration date
05/18/2015
Last updated
07/01/2016
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