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Organization
PATEL FAMILY DENTAL
Active
Organization
PATEL FAMILY DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHREYAS INDRAVADAN PATEL DDS (CEO/OWNER)
(315) 652-0777
Entity
Organization
Contact information
Practice address
8420 OSWEGO RD, LIVERPOOL, NY 13090-1004
(315) 652-0777
(315) 652-0779
Mailing address
8420 OSWEGO RD, LIVERPOOL, NY 13090-1004
(315) 652-0777
(315) 652-0779
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
053048
NY
Other
Enumeration date
01/06/2014
Last updated
01/06/2014
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