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Organization

GEENA R. PATEL DDS PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. GEENA R PATEL D.D.S. (PRESIDENT)
(224) 399-9535
Entity
Organization

Contact information

Practice address
20 TOWER CT, SUITE D, GURNEE, IL 60031-5711
(224) 399-9535
Mailing address
20 TOWER CT, SUITE D, GURNEE, IL 60031-5711
(224) 399-9535

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019028494
IL

Other

Enumeration date
09/17/2014
Last updated
09/17/2014
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