Individual
KRUPA PATEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1165 MANTUA PIKE, WEST DEPTFORD, NJ 08051-1649
(856) 464-1141
Mailing address
1165 MANTUA PIKE, WEST DEPTFORD, NJ 08051-1649
(757) 679-6842
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
22DI02805500
NJ
Other
Enumeration date
04/25/2017
Last updated
08/03/2021
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