Individual
DR. DIVYANG B PATEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BDS
Contact information
Practice address
2595 TAMPA RD, SUITE B, PALM HARBOR, FL 34684-3152
(727) 787-8187
Mailing address
2595 TAMPA RD, SUITE B, PALM HARBOR, FL 34684-3152
(727) 787-8187
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
10816
FL
122300000X
Dentist
35310
CA
Other
Enumeration date
02/23/2007
Last updated
07/08/2007
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