Organization
HETAL PATEL DDS PC
Active
Other names
Affordable Family Dental Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HETAL S PATEL D.D.S (PRESIDENT)
(269) 979-9248
Entity
Organization
Contact information
Practice address
5568 BECKLEY RD, SUITE 6, BATTLE CREEK, MI 49015-4199
(269) 979-9248
Mailing address
5568 BECKLEY RD, SUITE 6, BATTLE CREEK, MI 49015-4199
(269) 979-9248
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
22901020257
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2901020257
STATE LICENSE
MI
01
—
5315046961
STATE CONTROL SUBSTANCE LICENSE
MI
Enumeration date
12/26/2016
Last updated
03/07/2023
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