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Organization
SRP DENTAL CARE, P.C.
Active
Organization
SRP DENTAL CARE, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SURENDRA R PATEL DDS (OWNER/PRESIDENT)
(718) 933-9603
Entity
Organization
Contact information
Practice address
48 E KINGSBRIDGE RD, BRONX, NY 10468-7514
(718) 933-9603
(718) 866-0337
Mailing address
250 W CLARKSTOWN RD, NEW CITY, NY 10956-7221
(718) 933-9603
(718) 866-0337
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00291350
—
NY
01
—
033320
NEW YORK LIC. #
NY
01
—
52177
CALIFORNIA LIC.
CA
01
—
DN0013148
FLORIDA LIC.
FL
Enumeration date
04/14/2008
Last updated
04/15/2008
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