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Individual

DR. JAY VIJENDRA PATEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.M.D.

Contact information

Practice address
2087 CRUSE RD STE B, LAWRENCEVILLE, GA 30044-2345
(770) 521-2100
Mailing address
2087 CRUSE RD STE B, LAWRENCEVILLE, GA 30044-2345
(770) 521-2100

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DN013923
GA

Other

Enumeration date
07/19/2009
Last updated
10/08/2025
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