Individual
DR. MITESH R PATEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
50 MOUNT PROSPECT AVE FL 2, CLIFTON, NJ 07013-1900
(973) 249-0450
(973) 405-6512
Mailing address
50 MOUNT PROSPECT AVE, 2ND FLOOR, CLIFTON, NJ 07013-1900
(973) 249-0450
(973) 405-6512
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DI20132
NJ
332B00000X
Durable Medical Equipment & Medical Supplies
DI20132
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
829126
ATENA DMO PROVIDRE
NJ
05
—
8343004
—
NJ
Enumeration date
03/09/2007
Last updated
05/15/2019
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