Individual
NISHUL PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
9526 LAGO DR, BOYNTON BEACH, FL 33472-2754
(561) 713-2397
Mailing address
9526 LAGO DR, BOYNTON BEACH, FL 33472-2754
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DN16630
FL
Other
Enumeration date
08/26/2008
Last updated
08/26/2008
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