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Organization
KEYUR PATEL DDS,PLLC
Active
Organization
KEYUR PATEL DDS,PLLC
Active
Other names
Elite dental of Summerfield
Organization subpart
No
Provider details
NPI number
Authorized official
KEYURKUMAR PATEL DDS (OWNER)
(678) 633-9944
Entity
Organization
Contact information
Practice address
17820 SE 109TH AVE STE 111, SUMMERFIELD, FL 34491-8968
(352) 587-0456
Mailing address
17820 SE 109TH AVE STE 111, SUMMERFIELD, FL 34491-8968
(352) 587-0456
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DN-25145
DENTISTRY
FL
Enumeration date
05/09/2022
Last updated
02/18/2023
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