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Individual

SAMIP PATEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
8160 S HOUGHTON RD STE 130, TUCSON, AZ 85747-9720
(520) 901-8095
Mailing address
8160 S HOUGHTON RD STE 130, TUCSON, AZ 85747-9720
(520) 663-4089

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D009777
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
W235616293
(80840) 9140860054
MO
Enumeration date
06/19/2017
Last updated
06/19/2017
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