Organization
S. A. PATEL D.D.S., P.A.
Active
Parent organization
DR SA PATEL PA
Organization subpart
Yes
Provider details
NPI number
Legal business name
DR SA PATEL PA
Authorized official
DR. SUBHASHCHANDRA AMBALAL PATEL DDS (PRESIDENT)
(320) 669-7564
Entity
Organization
Contact information
Practice address
1025 10TH AVE. BOX 676, CLARKFIELD, MN 56223-0676
(320) 669-7564
Mailing address
1025 10TH AVE. BOX 676, CLARKFIELD, MN 56223-0676
(320) 669-7564
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
8395
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
983217300
—
MN
Enumeration date
05/17/2007
Last updated
05/20/2009
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