| Smita B Patel Dds | |
|
9663 Franklin Ave Franklin Park IL 60131-2719 | |
| (847) 455-4750 | |
| (847) 455-7805 |
| Full Name | Smita B Patel Dds |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 9663 Franklin Ave, Franklin Park, Illinois |
| Authorized Official Name and Position | Smita B Patel (PRESIDENT) |
| Authorized Official Contact | 8474554750 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Smita B Patel Dds 9663 Franklin Ave Franklin Park IL 60131-2719 Ph: (847) 455-4750 | Smita B Patel Dds 9663 Franklin Ave Franklin Park IL 60131-2719 Ph: (847) 455-4750 |
| NPI Number | 1619001708 |
|---|---|
| Provider Enumeration Date | 03/14/2007 |
| Last Update Date | 05/10/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619001708 | NPI | - | NPPES |
| 019022623 | Other | IL | STATE LICENCE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 019022623 (Illinois) | Primary |
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