Individual
AMIE PATEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9425 S RIVERSIDE DR, APT 1024, SANDY, UT 84070
(478) 396-6993
Mailing address
9425 S RIVERSIDE DR, APT 1024, SANDY, UT 84070-6511
(478) 396-6993
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
100318
CA
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
01/29/2015
Last updated
10/05/2019
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