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Individual

DR. PUSHPAK MAGANLAL PATEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.M.D., M.S.

Contact information

Practice address
50 SALEM ST, BLDG A, FIRST FLOOR, LYNNFIELD, MA 01940-2600
(781) 334-3895
Mailing address
175 OLD CART WAY, NORTH ANDOVER, MA 01845-6364
(857) 919-2273

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
2901019632
MI
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DN1855141
MA

Other

Enumeration date
06/02/2009
Last updated
02/26/2013
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