Individual
RAJ PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
326 NICHOLS RD, FITCHBURG, MA 01420-1914
(978) 878-8100
Mailing address
38A WARREN AVE, WOBURN, MA 01801-4922
(908) 397-1654
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DL100440
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/16/2024
Last updated
09/05/2024
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