Provider Demographics
NPI:1376857532
Name:PATEL, SANGITA (RDHAP)
Entity Type:Individual
Prefix:
First Name:SANGITA
Middle Name:
Last Name:PATEL
Suffix:
Gender:F
Credentials:RDHAP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12667 BELLE FLEUR WAY
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92128-4187
Mailing Address - Country:US
Mailing Address - Phone:760-310-9256
Mailing Address - Fax:
Practice Address - Street 1:12667 BELLE FLEUR WAY
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92128-4187
Practice Address - Country:US
Practice Address - Phone:760-310-9256
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-29
Last Update Date:2022-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARDHAP 303124Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist