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Individual

MRS. CHANDANI PATEL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
3829 E LOOP 820 S, FORT WORTH, TX 76119-4339
(469) 212-1707
Mailing address
4163 MIDROSE TRL, DALLAS, TX 75287-2791

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
6798
OK
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
39969
TX

Other

Enumeration date
06/07/2016
Last updated
09/05/2023
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