Individual
PRATIK SURESHBHAI PATEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1030 FREELAND DR, SUITE 104, SALISBURY, NC 28144-5175
(855) 894-4107
Mailing address
153 WEIGANDS LN, SECAUCUS, NJ 07094-2128
(646) 407-6663
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
10439
NC
Other
Enumeration date
06/23/2016
Last updated
06/23/2016
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