Individual
AMY R PATEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
191 RTE 206 STE 11, FLANDERS, NJ 07836-9002
(973) 927-8800
Mailing address
12 KROLL TER, SECAUCUS, NJ 07094-3839
(201) 424-9234
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
22DI02679100
NJ
Other
Enumeration date
08/03/2016
Last updated
03/17/2018
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