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Individual

DR. BHAVNA J PATEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DDS, PC

Contact information

Practice address
205 PAGE AVE, SUITE A, JACKSON, MI 49201-2462
(517) 796-9488
Mailing address
205 PAGE AVE, SUITE A, JACKSON, MI 49201-2462
(517) 796-9488

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
14652
MI

Other

Enumeration date
02/20/2008
Last updated
02/20/2008
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