Individual
KRUPA PATHAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12808 QUEENSBURY LN APT E326, HOUSTON, TX 77024-4073
(832) 581-0451
Mailing address
12808 QUEENSBURY LN APT E326, HOUSTON, TX 77024-4073
(832) 581-0451
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
41145
TX
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
02/05/2024
Last updated
03/21/2025
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