Individual
DR. DHARA PATEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
626 CHESTNUT ST, UNION, NJ 07083-9399
(908) 688-1039
Mailing address
13 FAR KNOLL LN, WHITEHOUSE STATION, NJ 08889-3422
(610) 506-5125
(609) 252-9007
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
026330
NJ
1223G0001X
General Practice Dentistry
Primary
22DI02633000
NJ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0526070
—
NJ
Enumeration date
03/14/2015
Last updated
08/29/2020
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