Individual
DIVY M PATEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3400 TEXAS SAGE TRL STE 136, FORT WORTH, TX 76177-8604
(817) 750-1300
Mailing address
3400 TEXAS SAGE TRL STE 136, FORT WORTH, TX 76177-8604
(817) 750-1300
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
42758
TX
Other
Enumeration date
07/23/2026
Last updated
07/23/2026
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