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Individual

JIGNESH PATEL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
6529 GERMANTOWN AVE, PHILADELPHIA, PA 19119-2247
(215) 848-8214
Mailing address
6529 GERMANTOWN AVE, PHILADELPHIA, PA 19119-2247
(215) 848-8214

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS040794
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
DS040794
STATE OF PENNSYLVANIA
PA
Enumeration date
06/10/2016
Last updated
06/10/2016
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