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Individual

PAYAL PATEL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DMD

Contact information

Practice address
1060 BRENTWOOD RD NE STE B-1, WASHINGTON, DC 20018-1052
(202) 269-4746
(202) 269-6994
Mailing address
2221 E BIJOU ST STE 100, COLORADO SPRINGS, CO 80909-8009
(719) 576-1850
(719) 955-3470

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DEN1001827
DC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
024667702
DC
05
450050400
MD
Enumeration date
06/06/2011
Last updated
06/12/2019
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