Organization
MITESH R PATEL DDS LLC
Active
Other names
Hawthorne Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MITESH R PATEL DDS (OWNER)
(973) 427-9299
Entity
Organization
Contact information
Practice address
354 LINCOLN AVE, HAWTHORNE, NJ 07506-1200
(973) 427-9299
Mailing address
354 LINCOLN AVE, HAWTHORNE, NJ 07506-1200
(973) 427-9299
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DI20132
NJ
Other
Enumeration date
02/22/2018
Last updated
02/22/2018
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