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Provider Information for 1861520645



DR. KALPESH A PATEL DDS

Gender: MALE

Individual NPI: 1861520645

Calendar Last Updated: 2016-03-28

Details

Name Value
NPI 1861520645
Enumeration Date 2007-03-01
NPI Type 1 - Individual
Sole Proprietor NO
Status Active
Mailing Address 2240 MARKET PLACE BLVD STE 140
IRVING, TX 75063-8098
United States

Phone: 972-556-0600 | Fax: 972-556-0600
View Map External Link
Primary Practice Address 2240 MARKET PLACE BLVD SUITE 140
IRVING, TX 75063-8072
United States

Phone: 214-257-0708 | Fax:
View Map External Link
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 1223G0001X - Dentist General Practice TX 23031
Other Identifiers
Issuer State Number
Endpoint Information
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location