Individual
MAYURI PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14815 N DALE MABRY HWY, TAMPA, FL 33618-2027
(813) 264-1993
Mailing address
906 E. BRANDON BLVD., BRANDON, FL 33511
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DN17271
FL
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
DN1855280
MA
Other
Enumeration date
05/19/2008
Last updated
05/01/2012
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