Individual
JALADHI PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BDS, CAGS, MSD
Contact information
Practice address
7517 CAMERON RD STE 106, AUSTIN, TX 78752-2055
(508) 369-5761
Mailing address
13700 SUTTON PARK DR N APT 1233, JACKSONVILLE, FL 32224-2277
(508) 369-5761
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
33674
TX
Other
Enumeration date
02/11/2018
Last updated
02/11/2018
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