Individual
SAMIR P PATEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
332 BELLEVILLE AVE, BLOOMFIELD, NJ 07003-3652
(973) 743-1755
(973) 743-6199
Mailing address
332 BELLEVILLE AVE, BLOOMFIELD, NJ 07003-3652
(973) 743-1755
(973) 743-6199
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
20649
NJ
Other
Enumeration date
11/17/2006
Last updated
07/08/2007
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