Individual
JAY PATEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
7409 SILENT WILLOW CT, MANASSAS, VA 20112-5550
(703) 794-9946
Mailing address
7409 SILENT WILLOW CT, MANASSAS, VA 20112-5550
(703) 794-9946
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401414475
VA
Other
Enumeration date
06/21/2014
Last updated
06/21/2014
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