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Individual

MITALI PATEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
(DMD)

Contact information

Practice address
8 PONDS EDGE DR, SUITE 2, CHADDS FORD, PA 19317-9389
(610) 388-9280
(215) 646-6199
Mailing address
401 COMMERCE DR, SUITE 108, FT WASHINGTON, PA 19034-2714
(267) 460-4254
(215) 646-6166

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
DN1855220
MA
1223G0001X
General Practice Dentistry
Primary
DS039465
PA

Other

Enumeration date
07/15/2009
Last updated
06/24/2013
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