Individual
PRIYEN PATEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1045 THOMAS JEFFERSON RD STE 2A, FOREST, VA 24551-4903
(434) 316-6050
Mailing address
1045 THOMAS JEFFERSON RD STE 2A, FOREST, VA 24551-4903
(434) 316-6050
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401417280
VA
Other
Enumeration date
03/19/2018
Last updated
02/22/2021
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