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Individual

DR. MITALI Y PATEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DDS

Contact information

Practice address
1213 DALON RD NE STE 102, ATLANTA, GA 30306-2024
(404) 418-6684
Mailing address
3527 AMBASSADOR ALY, SCOTTDALE, GA 30079-5609

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
019.028075
IL
1223P0221X
Pediatric Dentistry
0401414403
VA
1223P0221X
Pediatric Dentistry
15160
MD
1223P0221X
Pediatric Dentistry
DEN1001183
DC
1223P0221X
Pediatric Dentistry
Primary
DN122885
GA

Other

Enumeration date
10/21/2009
Last updated
12/04/2022
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