Individual
DR. DHAVAL PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1604 VISA DR, NORMAL, IL 61761-2195
(309) 585-2522
Mailing address
110 W CENTER ST # NA, OTTAWA, IL 61350-3557
(815) 434-6411
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019.030334
IL
Other
Enumeration date
07/23/2015
Last updated
02/01/2024
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