Individual
DR. MIT BAKULESH PATEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
2029 VALLEYGATE DR, SUITE 201, FAYETTEVILLE, NC 28304-3771
(910) 485-8884
(910) 485-8287
Mailing address
2015 VALLEYGATE DR, FAYETTEVILLE, NC 28304-3757
(910) 485-7070
(910) 485-1151
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
8773
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5913155
—
NC
Enumeration date
06/05/2009
Last updated
10/25/2012
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