Individual
DIMPLE JAYANTILAL PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
276 POOLER PKWY STE A, POOLER, GA 31322-5163
(912) 480-6973
Mailing address
149 CARLISLE WAY, SAVANNAH, GA 31419-6601
(407) 937-9379
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
PENDING
GA
Other
Enumeration date
06/26/2018
Last updated
06/26/2018
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