Individual
GUNJANBHAI RAMESHBHAI PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
912 RIVER ST, HYDE PARK, MA 02136-3715
(617) 910-4028
Mailing address
220 RESERVOIR ST STE 9, NEEDHAM, MA 02494-3133
(781) 400-5920
(617) 863-2036
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN1858124
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/25/2018
Last updated
09/28/2018
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