Individual
DEEP PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1612 LANCASTER DR, GRAPEVINE, TX 76051-3544
(817) 329-4979
Mailing address
1612 LANCASTER DR, GRAPEVINE, TX 76051-3544
(817) 329-4979
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DN24289
FL
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
41235
TX
Other
Enumeration date
03/12/2019
Last updated
07/21/2025
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