# PATELKA DENTAL LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1386815785
- **Authorized official:** RASIK G PATEL DDS (GENERAL DENTIST)
- **Authorized official phone:** (215) 342-9000

## Contact information

- **Practice address:** 8332 BUSTLETON AVE, UNIT C, PHILADELPHIA, PA 19152-1909
- **Practice address phone:** (215) 342-9000
- **Practice address fax:** (215) 342-9100
- **Mailing address:** 8332 BUSTLETON AVE, UNIT C, PHILADELPHIA, PA 19152-1909
- **Mailing address phone:** (215) 342-9000
- **Mailing address fax:** (215) 342-9100

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | DS020408L | PA | Yes |

## Other

- **Enumeration date:** 03/13/2008
- **Last updated:** 03/13/2008