Individual
DIVIAN NARENDRA PATEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2801 GRAY FOX CT, PLEASANTON, CA 94566-6920
(415) 316-6948
Mailing address
2801 GRAY FOX CT, PLEASANTON, CA 94566-6920
(415) 316-6948
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
102785
CA
Other
Enumeration date
08/29/2018
Last updated
08/29/2018
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