Individual
DR. AJIT A PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S., M.S.
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
0401410850
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
109269
—
VA
01
—
1650920
UNITED CONCORDIA
—
01
—
176194
ANTHEM BCBS
—
01
—
75316
DENTAL HEALTH ALLIANCE
—
Enumeration date
11/07/2006
Last updated
07/08/2007
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