Individual
VIPRA PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
1000 BRIDGEPORT AVE, SHELTON, CT 06484-4660
(203) 712-7726
Mailing address
13 CISCO DR, SHELTON, CT 06484-6162
(269) 830-9055
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
13426
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/12/2021
Last updated
10/27/2022
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