Individual
DR. PRASHANTA PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS MPH FICOI
Contact information
Practice address
2827 W PEORIA AVE STE 101, PHOENIX, AZ 85029-5213
(602) 749-1000
Mailing address
707 PARNASSUS AVE # 75, SAN FRANCISCO, CA 94143-2210
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
016.0134076
VT
122300000X
Dentist
Primary
D011671
AZ
Other
Enumeration date
08/10/2021
Last updated
07/13/2023
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