Individual
JANISHA PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3233 S JOHN YOUNG PKWY, KISSIMMEE, FL 34746-6543
(407) 933-1226
Mailing address
830 SPRING PARK LOOP, CELEBRATION, FL 34747-4831
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN20882
FL
Other
Enumeration date
08/20/2014
Last updated
08/20/2014
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