Individual
DR. PAYALBEN BALDEV PATEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD, MS
Contact information
Practice address
117 FONTANELLE BLVD, MADISON, MS 39110-6846
(769) 234-0615
Mailing address
117 FONTANELLE BLVD, MADISON, MS 39110-6846
(769) 234-0615
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
36439
TX
Other
Enumeration date
06/10/2020
Last updated
08/02/2020
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