Individual
JAYKISHAN PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6908 COLLEYVILLE BLVD, COLLEYVILLE, TX 76034-6244
(817) 722-6065
Mailing address
4100 COLINA AVE, DENTON, TX 76210-4629
(940) 300-2888
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
33204
TX
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
33204
TX
Other
Enumeration date
07/14/2017
Last updated
03/23/2021
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