SHIVANI A PATEL DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019033532

License Status

ACTIVE

Business

Title

DMD

First Name

SHIVANI

Middle

Last Name

PATEL

Business Name

SHIVANI A PATEL DMD

Original Issue Date

03/16/2022

Effective Date

09/30/2024

Expiration Date

09/30/2027

City

WESTFORD

State

Zip

01886

Ever Disciplined

LastModifiedDate

09/30/2024