Individual
BHAVIK M PATEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
4574 LAWRENCEVILLE HWY NW STE 120, LILBURN, GA 30047-3605
(770) 927-9000
Mailing address
4574 LAWRENCEVILLE HWY NW STE 120, LILBURN, GA 30047-3605
(770) 927-9000
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
013228
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
689329146A
—
GA
Enumeration date
10/18/2006
Last updated
07/08/2007
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