Individual
MANOJ BHIKHUBHAI PATEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
4013 VILLAGE PARK DR, KNIGHTDALE, NC 27545-7044
(919) 217-2813
Mailing address
4013 VILLAGE PARK DR, KNIGHTDALE, NC 27545-7044
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7577
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
89902RX
—
NC
Enumeration date
03/12/2008
Last updated
03/12/2008
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