Individual
AMIT PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
28 ELIHU DR, DURHAM, CT 06422-1025
(203) 927-2104
Mailing address
28 ELIHU DR, DURHAM, CT 06422-1025
(203) 927-2104
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
008838
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004235968
—
CT
Enumeration date
08/10/2005
Last updated
12/13/2016
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