Individual
HARDIK PATEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
125 E MERRITT ISLAND CAUSEWAYSUITE 127, MERRITT ISLAND, FL 32952
(229) 364-6350
Mailing address
125 E MERRITT ISLAND CAUSEWAYSUITE 127, MERRITT ISLAND, FL 32952
(229) 364-6350
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DRPM1991
FL
1223G0001X
General Practice Dentistry
Primary
DN26008
FL
1223G0001X
General Practice Dentistry
DRPM1991
FL
124Q00000X
Dental Hygienist
DH24451
FL
Other
Enumeration date
04/26/2017
Last updated
07/22/2021
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