Provider Demographics
NPI:1114089398
Name:PATEL, SONAL RAOJI (DDS)
Entity Type:Individual
Prefix:DR
First Name:SONAL
Middle Name:RAOJI
Last Name:PATEL
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2001 UNION ST STE 355
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94123-4108
Mailing Address - Country:US
Mailing Address - Phone:415-563-7474
Mailing Address - Fax:
Practice Address - Street 1:2001 UNION ST STE 355
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94123-4108
Practice Address - Country:US
Practice Address - Phone:415-563-7474
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA451701223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice