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Organization
PATEL TRAUMA AND ORAL SURGERY LLC
Active
Organization
PATEL TRAUMA AND ORAL SURGERY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NEEL PATEL MD, DMD (OWNER/PRESIDENT/CEO)
(804) 386-8719
Entity
Organization
Contact information
Practice address
5530 WISCONSIN AVE STE 930, CHEVY CHASE, MD 20815-4316
(804) 386-8719
Mailing address
5530 WISCONSIN AVE STE 930, CHEVY CHASE, MD 20815-4316
(804) 386-8719
Taxonomy
Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
—
NULL
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
—
—
2086S0127X
Trauma Surgery Physician
—
NULL
2086S0127X
Trauma Surgery Physician
—
—
Other
Enumeration date
02/10/2021
Last updated
03/04/2021
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