Individual
DR. CHETAN SHYAM PATIL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4025 W BELL RD STE 4, PHOENIX, AZ 85053-2748
(480) 744-3881
Mailing address
5526 N 79TH ST, SCOTTSDALE, AZ 85250-6503
(201) 468-2692
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
053823
NY
1223P0300X
Periodontics
22DI02429400
NJ
1223P0300X
Periodontics
Primary
D010274
AZ
Other
Enumeration date
12/02/2009
Last updated
08/03/2023
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