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Organization
VINITA PATEL, DMD, P.A.
Active
Organization
VINITA PATEL, DMD, P.A.
Active
Other names
Ballantyne Family Dental
Organization subpart
No
Provider details
NPI number
Authorized official
VINITA PATEL DMD (OWNER/DENTIST)
(980) 215-9200
Entity
Organization
Contact information
Practice address
12312 COPPER WAY STE 202, CHARLOTTE, NC 28277-4855
(980) 215-9200
Mailing address
6827 BRADDOCK LN, CHARLOTTE, NC 28277-0219
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
09842
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1881002871
INDIVIDUAL NPI
—
Enumeration date
12/05/2017
Last updated
12/05/2017
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