Individual
DR. AVINASH PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
723 FOXON RD, EAST HAVEN, CT 06513
(203) 466-7400
Mailing address
11 GATE HOUSE LN, MAMARONECK, NY 10543-1012
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12310
CT
122300000X
Dentist
DN23612
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12310
CONNECTICUT DEPARTMENT OF PUBLIC HEALTH DENTAL LICENSE
CT
01
—
DN23612
FLORIDA DEPARTMENT OF HEALTH
FL
Enumeration date
07/25/2018
Last updated
06/27/2019
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