NPI | 1346795317 |
---|---|
Former Name | JALPA PATEL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: GA DN015167) |
Additional Taxonomies | 122300000X Dentist (Licence: WA DE60727737) |
Enumeration Date | 2016-08-19 |
Last Update Date | 2023-03-30 |