Provider Demographics
NPI:1770813511
Name:NAMRATA PATEL, DDS, INC.
Entity type:Organization
Organization Name:NAMRATA PATEL, DDS, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:NAMRATA
Authorized Official - Middle Name:C
Authorized Official - Last Name:PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:415-433-0119
Mailing Address - Street 1:360 POST ST STE 704
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94108-4910
Mailing Address - Country:US
Mailing Address - Phone:415-433-0119
Mailing Address - Fax:415-433-1925
Practice Address - Street 1:360 POST ST STE 704
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94108-4910
Practice Address - Country:US
Practice Address - Phone:415-433-0119
Practice Address - Fax:415-433-1925
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-12-29
Last Update Date:2009-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty