Individual
DR. NEAL PHATAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1 JASONS WAY, ANNVILLE, PA 17003-2037
(717) 867-5088
Mailing address
1 JASONS WAY, ANNVILLE, PA 17003-2037
(717) 867-5088
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
050977
NY
122300000X
Dentist
Primary
DS039784
PA
Other
Enumeration date
06/19/2007
Last updated
05/21/2016
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