Organization
GULFSHORE DENTAL ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NIRAV AMRIT PATEL D.M.D. (OWNER/DOCTOR)
(863) 675-3270
Entity
Organization
Contact information
Practice address
813 E HICKPOCHEE AVE, SUITE 500, LABELLE, FL 33935-5033
(863) 675-3270
(863) 675-3868
Mailing address
813 E HICKPOCHEE AVE, SUITE 500, LABELLE, FL 33935-5033
(863) 675-3270
(863) 675-3868
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
15723
FL
Other
Enumeration date
02/11/2010
Last updated
02/11/2010
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