Individual
TRISHA RAJESH PATEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
315 MORRISON DR, CLINTON, MS 39056-5239
(601) 925-5163
Mailing address
100 SUMMER LAKE CV, RIDGELAND, MS 39157-8632
(601) 540-8789
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4000-18
MS
Other
Enumeration date
06/07/2018
Last updated
06/07/2018
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