Most Relevant Information
Provider Data
| NPI Number: | 1003260910 |
| Provider Name: | KHUSBU PRAVIN PATEL D.M.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 122300000X |
| Specialty: | Dentist |
| License Number: | DN23297 |
Most Important Dates
| Enumeration Date: | 04/17/2016 |
| Last Updated: | 12/13/2019 |
Provider Practice Location
6323 MEMORIAL HWY
TAMPA
FL
33615
Practice Location Phone/Fax
| Phone: | 2396583000 |
| Fax: |
Provider Mailing Location
1773 W FLETCHER AVE.
TAMPA
FL
33612
Provider Mailing Phone/Fax
| Phone: | 9414457926 |
| Fax: |