Individual
CHINTANKUMAR MANOJKUMAR PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2690 KINGSTON RD, EASTON, PA 18045-8001
(610) 810-2704
Mailing address
427 WOODMONT CIR, EASTON, PA 18045-6096
(347) 204-4636
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS043732
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/17/2022
Last updated
05/19/2023
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