Individual
DIVYANG P PATEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
401 YOUNG AVE STE 130, MOORESTOWN, NJ 08057-3131
(832) 209-0160
Mailing address
225 EVANS MILL LN, CHERRY HILL, NJ 08034-3554
(832) 209-0160
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
22DI03067300
NJ
Other
Enumeration date
08/02/2023
Last updated
11/04/2024
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