Provider Demographics
NPI:1871690735
Name:PATEL, DHAVAL R (DDS)
Entity Type:Individual
Prefix:DR
First Name:DHAVAL
Middle Name:R
Last Name:PATEL
Suffix:
Gender:M
Credentials:DDS
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Mailing Address - Street 1:2860 MICHELLE
Mailing Address - Street 2:2ND FLOOR
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92606-1009
Mailing Address - Country:US
Mailing Address - Phone:714-508-3600
Mailing Address - Fax:714-368-2092
Practice Address - Street 1:10357 FAIRWAY DR
Practice Address - Street 2:STE. 100
Practice Address - City:ROSEVILLE
Practice Address - State:CA
Practice Address - Zip Code:95678-3544
Practice Address - Country:US
Practice Address - Phone:916-782-4500
Practice Address - Fax:916-782-4515
Is Sole Proprietor?:No
Enumeration Date:2006-09-20
Last Update Date:2012-11-07
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Provider Licenses
StateLicense IDTaxonomies
CA542971223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice