Individual
KHUSHBUBEN CHIMANLAL PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1403 W GLEN AVE, PEORIA, IL 61614-4705
(309) 692-4721
Mailing address
1403 W GLEN AVE, PEORIA, IL 61614-4705
(510) 766-4230
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
106552
CA
Other
Enumeration date
07/14/2021
Last updated
07/14/2021
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