Individual
KAVITA V PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1624 W DIVISION ST APT 302, CHICAGO, IL 60622-3909
(937) 670-0137
Mailing address
525 E MARKET ST, AKRON, OH 44304-1619
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
319.021385
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
OH
Other
Enumeration date
05/19/2012
Last updated
12/03/2021
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