Individual
JAYENDRA C PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
903 CENTER ST, JIM THORPE, PA 18229
(570) 325-8300
(570) 325-0272
Mailing address
903 CENTER ST, JIM THORPE, PA 18229
(570) 325-8300
(570) 325-0272
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS035360
PA
Other
Enumeration date
09/12/2006
Last updated
07/08/2007
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