Individual
AJAY R PATEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS OMS
Contact information
Practice address
130 PARK AVE, MERCED, CA 95348-3421
(209) 722-2764
(209) 722-4861
Mailing address
130 PARK AVE, MERCED, CA 95348-3421
(209) 722-2764
(209) 722-4861
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
045277-1
NY
Other
Enumeration date
01/30/2007
Last updated
09/12/2007
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