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1740 Mediterranean Dr Suite 101 Sycamore IL 60178-3191 | |
| (815) 895-0777 | |
| (815) 895-0776 |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1740 Mediterranean Dr, Sycamore, Illinois |
| Authorized Official Name and Position | Sejal Girish Patel (DENTIST) |
| Authorized Official Contact | 8474454772 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1740 Mediterranean Dr Suite 101 Sycamore IL 60178-3191 Ph: (815) 895-0777 | 1740 Mediterranean Dr Suite 101 Sycamore IL 60178-3191 Ph: (815) 895-0777 |
| NPI Number | 1598159162 |
|---|---|
| Provider Enumeration Date | 03/23/2015 |
| Last Update Date | 03/23/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598159162 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 019027620 (Illinois) | Primary |
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