Individual
KOONAL S. PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1933 DELANCEY PL, PHILADELPHIA, PA 19103-6611
(215) 546-6111
Mailing address
111 S 15TH ST PH P306, PHILADELPHIA, PA 19102-3011
(407) 252-6599
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS044733
PA
Other
Enumeration date
06/25/2024
Last updated
06/25/2024
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