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Organization
PATELKA DENTAL LLC
Active
Organization
PATELKA DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RASIK G PATEL DDS (GENERAL DENTIST)
(215) 342-9000
Entity
Organization
Contact information
Practice address
8332 BUSTLETON AVE, UNIT C, PHILADELPHIA, PA 19152-1909
(215) 342-9000
(215) 342-9100
Mailing address
8332 BUSTLETON AVE, UNIT C, PHILADELPHIA, PA 19152-1909
(215) 342-9000
(215) 342-9100
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DS020408L
PA
Other
Enumeration date
03/13/2008
Last updated
03/13/2008
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