Individual
AMEE PATHAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
2604 OLD DENTON RD, CARROLLTON, TX 75007-5109
(213) 344-8609
Mailing address
1001 LAKE CAROLYN PKWY APT 452, IRVING, TX 75039-4814
(213) 344-8609
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
25967
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2010020531
PEDIACTRICS
MO
05
—
2010020531
—
MO
Enumeration date
07/15/2010
Last updated
02/17/2018
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