Organization
PATEL, KOSTELIC & ASSOCIATES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAJIV PATEL DMD (OWNER/MANAGER)
(704) 796-7397
Entity
Organization
Contact information
Practice address
901 N WINSTEAD AVE STE 120, ROCKY MOUNT, NC 27804-8712
(704) 796-7397
Mailing address
2441 MOSS GROVE XING, WINSTON SALEM, NC 27103-6422
(336) 577-1583
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
06/29/2021
Last updated
06/29/2021
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