Individual
DEVANSHI PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
110 23RD ST NW, FORT PAYNE, AL 35967-3671
(256) 996-3602
Mailing address
1416 GLENN BLVD SW, FORT PAYNE, AL 35968-3520
(256) 996-3602
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6143
AL
Other
Enumeration date
09/05/2014
Last updated
08/05/2016
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