Individual
BAKULA A PATEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
1112 NW CIRCLE BLVD, CORVALLIS, OR 97330-1462
(541) 207-2006
Mailing address
6237 SW TIMBER RIDGE DR, CORVALLIS, OR 97333-2942
(541) 419-4560
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
H2843
OR
Other
Enumeration date
07/19/2011
Last updated
07/19/2011
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