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1104279538
SHIVAM PATEL
DALLAS, TX
NPI
1104279538
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: TX 31973)
Enumeration Date
2016-07-21
Last Update Date
2016-07-21
Business Address
Dr. SHIVAM PATEL DMD
2823 KENDALE DR
DALLAS, TX 75220-4736
Phone number: 214-350-8800
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Mailing Address
Dr. SHIVAM PATEL DMD
5415 MAPLE AVE APT 282
DALLAS, TX 75235-7405
Phone number: 978-413-8965
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