Organization
KEYUR PATEL DDS,PLLC
Active
Other names
Elite dental of Summerfield
Organization subpart
No
Provider details
NPI number
Authorized official
KEYURKUMAR PATEL DDS (OWNER)
(678) 633-9944
Entity
Organization
Contact information
Practice address
17820 SE 109TH AVE STE 111, SUMMERFIELD, FL 34491-8968
(352) 587-0456
Mailing address
17820 SE 109TH AVE STE 111, SUMMERFIELD, FL 34491-8968
(352) 587-0456
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DN-25145
DENTISTRY
FL
Enumeration date
05/09/2022
Last updated
02/18/2023
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