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Individual

MITUL PATEL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
774 POST RD, SUITE 250, SCARSDALE, NY 10583-5030
(914) 472-3400
Mailing address
774 POST RD, SUITE 250, SCARSDALE, NY 10583-5030
(914) 472-3400

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
052791
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
052791
LICENSE
NY
Enumeration date
06/14/2007
Last updated
03/02/2016
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