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Organization
SMITA B PATEL DDS
Active
Organization
SMITA B PATEL DDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SMITA B PATEL D.D.S. (PRESIDENT)
(847) 455-4750
Entity
Organization
Contact information
Practice address
9663 FRANKLIN AVE, FRANKLIN PARK, IL 60131-2719
(847) 455-4750
(847) 455-7805
Mailing address
9663 FRANKLIN AVE, FRANKLIN PARK, IL 60131-2719
(847) 455-4750
(847) 455-7805
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
019022623
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
019022623
STATE LICENCE
IL
Enumeration date
03/14/2007
Last updated
05/10/2012
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