Organization
LXMI, INC.
Active
Other names
Tarak C. Patel, DDS
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TARAK CHAMPAKLAL PATEL DDS (DENTIST)
(904) 757-7940
Entity
Organization
Contact information
Practice address
2262 DUNN AVENUE, SUITE 1, JACKSONVILLE, FL 32218
(904) 757-7940
(904) 757-7942
Mailing address
2262 DUNN AVENUE, SUITE 1, JACKSONVILLE, FL 32218
(904) 757-7940
(904) 757-7942
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN14212
FL
122300000X
Dentist
DN18785
FL
124Q00000X
Dental Hygienist
DH10367
FL
124Q00000X
Dental Hygienist
DH15676
FL
Other
Enumeration date
09/14/2010
Last updated
09/14/2010
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