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Organization

PATEL & ASSOCIATES 1 PLLC

Active
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Organization

PATEL & ASSOCIATES 1 PLLC

Active
Other names
Patel Dental & Implants
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JIMISKUMAR S PATEL DMD (MANAGER)
(336) 570-3882
Entity
Organization

Contact information

Practice address
150 W CRESCENT SQUARE DR, GRAHAM, NC 27253-4014
(336) 570-3882
(336) 570-3583
Mailing address
150 W CRESCENT SQUARE DR, GRAHAM, NC 27253-4014
(336) 570-3882
(336) 570-3583

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
NULL
1223G0001X
General Practice Dentistry
Primary
—
—
332BC3200X
Customized Equipment (DME)
—
NULL

Other

Enumeration date
11/03/2022
Last updated
12/09/2024
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