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1831630763
TINA PATEL
SOUTH JORDAN, UT
NPI
1831630763
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: UT 10635042-9921)
Enumeration Date
2017-03-10
Last Update Date
2018-07-17
Business Address
TINA PATEL
11501 S 4000 W STE 101
SOUTH JORDAN, UT 84009
Phone number: 017-012-1208
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Mailing Address
TINA PATEL
1821 W CAPITOL AVE
WEST SACRAMENTO, CA 95691-2521
Phone number:
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