Anisha Patel DDS PLLC
Dentist, General Practice in Glen Allen, VA. Organization (NPI-2).
NPI number1902328958
StatusActive
Last updated in NPPESJul 12, 2017
Details
- NPI
- 1902328958
- Entity type
- Organization (NPI-2)
- Legal business name
- Anisha Patel DDS PLLC
- Organization subpart
- No
- Enumeration date
- Jul 12, 2017
- Last updated
- Jul 12, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 0401413640 | VA | Yes |
Other names
- Village Family Dentistry (Doing Business As)
Practice location
2448 Old Brick RdGlen Allen, VA 23060-5841
Phone 804-360-0355
Mailing address
4313 Allenbend CirGlen Allen, VA 23060-6520
Phone 434-770-2504
Authorized official
Anisha Patel
DDS/Owner
8043600355
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