Individual
DR. AMISH JAYENDRA PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D
Contact information
Practice address
145 MEDICAL BLVD, STOCKBRIDGE, GA 30281-5083
(770) 389-0389
Mailing address
38 CARRIAGE LAKE DR, STOCKBRIDGE, GA 30281-6275
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
DN 20894
FL
1223G0001X
General Practice Dentistry
Primary
DN122207
GA
Other
Enumeration date
09/12/2014
Last updated
02/09/2021
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