Organization
MELISSA KIDS DENTAL, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RUPANDE PATEL DDS, MS (OWNER)
(469) 422-5437
Entity
Organization
Contact information
Practice address
1711 COOPER ST, MELISSA, TX 75454-9542
(469) 422-5437
(972) 378-6771
Mailing address
6513 PRESTON RD, SUITE 500, PLANO, TX 75024-2688
(469) 422-5437
(972) 378-6771
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
285094301
—
TX
Enumeration date
03/08/2012
Last updated
03/08/2012
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