Individual
BHAVINKUMAR PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
117 SAINT PATRICKS DR, WALDORF, MD 20603-4574
(301) 870-4553
Mailing address
7 KORADO CT, #1A, BALTIMORE, MD 21244-3222
(301) 870-4553
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401411827
VA
Other
Enumeration date
07/06/2007
Last updated
07/08/2007
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