| NPI | 1144538075 |
|---|---|
| Doing Business As | TARAK C. PATEL, DDS |
| Entity Type | Organization |
| Authorized Contact | TARAK CHAMPAKLAL PATEL Dentist 904-757-7940 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: FL DN14212) |
| Additional Taxonomies | 122300000X Dentist (Licence: FL DN18785) |
| 124Q00000X Dental Hygienist (Licence: FL DH10367) | |
| 124Q00000X Dental Hygienist (Licence: FL DH15676) | |
| Enumeration Date | 2010-09-14 |
| Last Update Date | 2010-09-14 |