Keyur Patel Dds,pllc | |
17820 Se 109th Ave Ste 111 Summerfield FL 34491-8968 | |
(352) 587-0456 | |
Not Available |
Full Name | Keyur Patel Dds,pllc |
---|---|
Speciality | Clinic/center - Dental |
Location | 17820 Se 109th Ave Ste 111, Summerfield, Florida |
Authorized Official Name and Position | Keyurkumar Patel (OWNER) |
Authorized Official Contact | 6786339944 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Keyur Patel Dds,pllc 17820 Se 109th Ave Ste 111 Summerfield FL 34491-8968 Ph: (352) 587-0456 | Keyur Patel Dds,pllc 17820 Se 109th Ave Ste 111 Summerfield FL 34491-8968 Ph: (352) 587-0456 |
NPI Number | 1568108942 |
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Provider Enumeration Date | 05/09/2022 |
Last Update Date | 02/18/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1568108942 | NPI | - | NPPES |
DN-25145 | Other | FL | DENTISTRY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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