Individual
DAXESH PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
795 N LEXINGTON SPRINGMILL RD, ONTARIO, OH 44906-1114
(419) 522-1386
Mailing address
105 FAITH RD, NEWINGTON, CT 06111-4813
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
0401415118
VA
1223G0001X
General Practice Dentistry
Primary
30.024872
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/18/2014
Last updated
07/18/2022
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