Provider Demographics
NPI:1982276978
Name:PATEL, TORAL KUNTAL (DDS)
Entity Type:Individual
Prefix:DR
First Name:TORAL
Middle Name:KUNTAL
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 1:5812 DOLBEER WAY
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:CA
Mailing Address - Zip Code:94560-4947
Mailing Address - Country:US
Mailing Address - Phone:202-247-8244
Mailing Address - Fax:
Practice Address - Street 1:1477 FITZGERALD DR STE 106
Practice Address - Street 2:
Practice Address - City:PINOLE
Practice Address - State:CA
Practice Address - Zip Code:94564-2257
Practice Address - Country:US
Practice Address - Phone:202-247-8244
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-07-11
Last Update Date:2021-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA106472122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist