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5568 Beckley Rd Suite 6 Battle Creek MI 49015-4199 | |
| (269) 979-9248 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Dentist |
| Location | 5568 Beckley Rd, Battle Creek, Michigan |
| Authorized Official Name and Position | Hetal S Patel (PRESIDENT) |
| Authorized Official Contact | 2699799248 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
5568 Beckley Rd Suite 6 Battle Creek MI 49015-4199 Ph: (269) 979-9248 | 5568 Beckley Rd Suite 6 Battle Creek MI 49015-4199 Ph: (269) 979-9248 |
| NPI Number | 1730624974 |
|---|---|
| Provider Enumeration Date | 12/26/2016 |
| Last Update Date | 03/07/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730624974 | NPI | - | NPPES |
| 5315046961 | Other | MI | STATE CONTROL SUBSTANCE LICENSE |
| 2901020257 | Other | MI | STATE LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 22901020257 (Michigan) | Primary |
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