Individual
MITESH J PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3621 CAPE CENTER DR, FAYETTEVILLE, NC 28304-4457
(910) 307-0370
Mailing address
5001 LONG PIER LN UNIT 203, RALEIGH, NC 27610-7743
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
13422
NC
Other
Enumeration date
07/31/2023
Last updated
07/31/2023
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