Organization
DHRUVKUMAR PATEL DDS PLLC
Active
Other names
Divine Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DHRUVKUMAR JITENDRA PATEL DDS (PRESIDENT)
(714) 404-5978
Entity
Organization
Contact information
Practice address
966 N GARDEN RIDGE BLVD STE 510, LEWISVILLE, TX 75077-2876
(469) 240-5590
(469) 240-5591
Mailing address
3316 CANYON LAKE DR, LITTLE ELM, TX 75068-2791
(714) 404-5978
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
—
—
1223G0001X
General Practice Dentistry
Primary
—
—
261QD0000X
Dental Clinic/Center
—
—
Other
Enumeration date
07/18/2022
Last updated
09/18/2022
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