Individual
KAUSHAL PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
319 LYNNWAY, #1, LYNN, MA 01901-1811
(781) 599-5437
(781) 599-5436
Mailing address
93 NORTHAMPTON ST, APT 1A, BOSTON, MA 02118-1870
(201) 238-3178
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN1857101
MA
Other
Enumeration date
12/15/2015
Last updated
12/15/2015
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