Organization
SMITA PATEL DES MOINES DMD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MADISON LEHMAN (CREDENTIALING SPECIALIST)
(720) 603-4779
Entity
Organization
Contact information
Practice address
22506 MARINE VIEW DR S STE 101, DES MOINES, WA 98198-6906
(720) 603-4700
Mailing address
22506 MARINE VIEW DR S STE 101, DES MOINES, WA 98198-6906
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
11/10/2020
Last updated
04/21/2021
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