Organization
A.PATEL,DDS.INC.
Active
Other names
Prosmile Family Dentist
Organization subpart
No
Provider details
NPI number
Authorized official
AJAYKUMAR PATEL DDS (PRESIDENT)
(215) 436-7600
Entity
Organization
Contact information
Practice address
3430 TULLY RD STE 21, MODESTO, CA 95350-0840
(215) 436-7600
Mailing address
2800 BRADEN AVE APT 163, MODESTO, CA 95356-0678
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
100043
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1548608425
NPI
PA
Enumeration date
05/14/2017
Last updated
05/14/2017
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