Individual
MITA PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5870 LANDERBROOK DRIVE #250, MAYFIELD HEIGHTS, OH 44124
(800) 487-4867
(216) 593-7533
Mailing address
5870 LANDERBROOK DRIVE #250, MAYFIELD HEIGHTS, OH 44124
(800) 487-4867
(216) 593-7533
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901016625
MI
Other
Enumeration date
03/14/2007
Last updated
07/08/2007
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