Individual
ALEXANDRA PATIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
50 OFFICE PARK DR, JACKSONVILLE, NC 28546
(910) 347-5151
Mailing address
50 OFFICE PARK DR, JACKSONVILLE, NC 28546-3217
(910) 347-5151
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
0401415483
VA
122300000X
Dentist
Primary
11001
NC
122300000X
Dentist
D13651
MN
Other
Enumeration date
05/18/2016
Last updated
07/08/2018
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