# KUTZTOWN DENTAL CARE

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Kutztown Dental Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1316781495
- **Authorized official:** DR. NIKLESHKUMAR PATEL DMD (OWNER)
- **Authorized official phone:** (267) 994-6505

## Contact information

- **Practice address:** 9181 ACADEMY RD APT 104, PHILADELPHIA, PA 19114-2708
- **Practice address phone:** (167) 994-6505
- **Mailing address:** 9181 ACADEMY RD APT 104, PHILADELPHIA, PA 19114-2708

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 06/24/2024
- **Last updated:** 06/24/2024