Rupal Patel, D.M.D
NPI #1578857561 in Bloomington, Illinois
Provider Information
- NPI Number
- 1578857561
- Entity Type
- Individual
- Name
- Rupal Patel, D.M.D
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist
- Credential
- D.M.D
- Enumeration Date
- Jun 7, 2011
- Last Updated
- Jun 30, 2012
Practice Location
- Address
- 1804 WOODBINE RD
- City
- Bloomington
- State
- Illinois
- ZIP Code
- 61704-2806
- Phone
- (309) 287-3186
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
| Dentist - General Practice — General Practice |
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