Provider Demographics
NPI:1528127776
Name:PATEL, MILI DOSHI (DMD)
Entity type:Individual
Prefix:DR
First Name:MILI
Middle Name:DOSHI
Last Name:PATEL
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:37221 MERIDIAN AVE
Mailing Address - Street 2:
Mailing Address - City:DADE CITY
Mailing Address - State:FL
Mailing Address - Zip Code:33525-3617
Mailing Address - Country:US
Mailing Address - Phone:352-567-3049
Mailing Address - Fax:352-567-9097
Practice Address - Street 1:37221 MERIDIAN AVE
Practice Address - Street 2:
Practice Address - City:DADE CITY
Practice Address - State:FL
Practice Address - Zip Code:33525-3617
Practice Address - Country:US
Practice Address - Phone:352-567-3049
Practice Address - Fax:352-567-9097
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN159641223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice