Individual
BHAVIK NILESH PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2226 MISSOURI BLVD, JEFFERSON CITY, MO 65109-4727
(573) 658-4022
Mailing address
4331 KENTSFIELD LN APT 203, COLUMBIA, MO 65201-3648
(720) 487-8120
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2021000611
MO
Other
Enumeration date
01/08/2021
Last updated
01/08/2021
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