Individual
JINAL PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
41940 W MARICOPA CASA GRANDE HWY STE 120, MARICOPA, AZ 85138-3239
(520) 589-2919
Mailing address
730 RIVERSIDE DR APT 218, TOLEDO, OH 43605-5610
(601) 701-5219
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
4234-21
MS
1223P0221X
Pediatric Dentistry
Primary
D012064
AZ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/20/2021
Last updated
03/29/2024
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