Individual
KISHAN PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3242 S MAIN STREET, SANDY LAKE, PA 16145-1614
(724) 376-7161
Mailing address
PO BOX 277, STONEBORO, PA 16153-0277
(412) 953-3292
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS044453
PA
Other
Enumeration date
01/17/2024
Last updated
01/17/2024
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