NPI 1104501766

Dhara Patel, DDS

Practitioner Dentist Los Lunas, NM

Practice location

Address: 1620 Main St SW D, Los Lunas, NM 87031
Phone: (505) 565-0651

Registered specialties

Dentist Primary

Dental Providers Taxonomy 122300000X Licence DB-2023-0142 (NM)

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Registry record

NPI: 1104501766
Entity type: Individual
Sex (as registered): Female
NPI issued: 20 Jun 2023
Record last updated: 12 Jul 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.