Individual
YAGNIK PATEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3821 CAMP BOWIE BLVD, FORT WORTH, TX 76107-3355
(609) 202-8123
Mailing address
3821 CAMP BOWIE BLVD, FORT WORTH, TX 76107-3355
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
31926
TX
1223G0001X
General Practice Dentistry
019031506
IL
Other
Enumeration date
06/30/2016
Last updated
07/21/2020
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