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Individual
KOMAL S PATEL
Active
Individual
KOMAL S PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
055639
NY
122300000X
Dentist
Primary
2901021723
MI
122300000X
Dentist
DI02502600
NJ
390200000X
Student in an Organized Health Care Education/Training Program
—
NULL
Other
Enumeration date
07/01/2010
Last updated
11/24/2015
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