Individual
DR. RICKY PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
8701 KNOX BRIDGE HWY, CANTON, GA 30114-4541
(205) 934-2700
Mailing address
1015 WOODBURY RD, CANTON, GA 30114
(404) 543-4401
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN015351
GA
Other
Enumeration date
05/05/2016
Last updated
02/02/2021
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