Individual
DR. SUBHASHCHANDRA AMBALAL PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS.
Contact information
Practice address
2716 UPPER AFTON ROAD E., ST. PAUL, MN 55119-0449
(651) 739-5110
(651) 739-1873
Mailing address
2716 UPPER AFTON ROAD E., ST. PAUL, MN 55119-0449
(651) 739-5110
(651) 739-1873
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
8395
MN
1223G0001X
General Practice Dentistry
Primary
D8395
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
983217300
—
MN
Enumeration date
07/24/2006
Last updated
10/24/2018
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