Provider Demographics
NPI:1679744387
Name:PATEL, GITA MAYANK (DDS)
Entity Type:Individual
Prefix:DR
First Name:GITA
Middle Name:MAYANK
Last Name:PATEL
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
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Mailing Address - Street 1:2536 AMHERST ST
Mailing Address - Street 2:SUITE A
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77005-3207
Mailing Address - Country:US
Mailing Address - Phone:713-490-8880
Mailing Address - Fax:713-490-6464
Practice Address - Street 1:11302 BROADWAY ST
Practice Address - Street 2:SUITE 104
Practice Address - City:PEARLAND
Practice Address - State:TX
Practice Address - Zip Code:77584-9795
Practice Address - Country:US
Practice Address - Phone:281-416-5844
Practice Address - Fax:281-506-8333
Is Sole Proprietor?:No
Enumeration Date:2008-03-20
Last Update Date:2012-04-19
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TX214141223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice