Individual
MIKIN PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
235B MEMORIAL AVE, WEST SPRINGFIELD, MA 01089
(413) 285-8146
Mailing address
235B MEMORIAL AVE, WEST SPRINGFIELD, MA 01089-4005
(413) 285-8146
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
11245
CT
1223G0001X
General Practice Dentistry
Primary
DN1856610
MA
Other
Enumeration date
06/27/2014
Last updated
11/14/2019
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