Individual
AMITKUMAR PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
3565 KIRKRIDGE ST, SANTA ROSA, CA 95403-1776
(707) 486-8532
Mailing address
3565 KIRKRIDGE ST, SANTA ROSA, CA 95403-1776
(707) 486-8532
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/03/2014
Last updated
05/03/2014
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