Individual
HARVI SUBHASH PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
2254 S CICERO AVE, CICERO, IL 60804-2411
(708) 656-2222
(708) 652-3990
Mailing address
2710 PONTIAC LN APT 1924, AURORA, IL 60502-9007
(314) 319-1674
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019-035311
IL
1223G0001X
General Practice Dentistry
019035311
IL
Other
Enumeration date
02/14/2024
Last updated
08/02/2024
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