Individual
DR. SHIVANI PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1115 MOUNT AETNA RD, HAGERSTOWN, MD 21740-6806
(301) 739-7003
Mailing address
5951 CECIL WAY, ELDERSBURG, MD 21784-8576
(443) 798-8398
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
15867
MD
Other
Enumeration date
06/23/2015
Last updated
10/05/2022
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