Individual
AMIT PRAVIN PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
17605 HACKAMORE PLACE, LUTZ, FL 33549-5685
(813) 949-0215
(813) 933-6875
Mailing address
17605 HACKAMORE PLACE, LUTZ, FL 33549-5685
(813) 949-0215
(813) 933-6875
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN 16808
FL
122300000X
Dentist
DN012956
GA
Other
Enumeration date
08/17/2006
Last updated
07/08/2007
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