| S. A. Patel D.d.s., P.a. | |
|
1025 10th Ave. Box 676 Clarkfield MN 56223-0676 | |
| (320) 669-7564 | |
| Not Available |
| Full Name | S. A. Patel D.d.s., P.a. |
|---|---|
| Speciality | Dentist |
| Location | 1025 10th Ave. Box 676, Clarkfield, Minnesota |
| Authorized Official Name and Position | Subhashchandra Ambalal Patel (PRESIDENT) |
| Authorized Official Contact | 3206697564 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| S. A. Patel D.d.s., P.a. 1025 10th Ave. Box 676 Clarkfield MN 56223-0676 Ph: (320) 669-7564 | S. A. Patel D.d.s., P.a. 1025 10th Ave. Box 676 Clarkfield MN 56223-0676 Ph: (320) 669-7564 |
| NPI Number | 1932316965 |
|---|---|
| Provider Enumeration Date | 05/17/2007 |
| Last Update Date | 05/20/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932316965 | NPI | - | NPPES |
| 983217300 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 8395 (Minnesota) | Primary |
Open Door Health Center Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1025 10th Ave, Clarkfield, MN 56223 Phone: 320-669-7564 |