Individual
DISHA PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4969 US HIGHWAY 98 N, LAKELAND, FL 33809-3657
(863) 614-0044
Mailing address
4969 US HIGHWAY 98 N, LAKELAND, FL 33809-3657
(863) 614-0044
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
701-33645
FL
Other
Enumeration date
05/19/2026
Last updated
05/19/2026
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