Individual
JAYANTILAL L. PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
767 5TH AVE, SUITE B-3A, CHAMBERSBURG, PA 17201-4207
(717) 263-4462
(717) 263-8014
Mailing address
767 5TH AVE, SUITE B-3A, CHAMBERSBURG, PA 17201-4207
(717) 263-4462
(717) 263-8014
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS020874L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000530061
—
PA
Enumeration date
07/08/2005
Last updated
11/10/2011
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