| NPI | 1487928941 |
|---|---|
| Former Name | KAJAL BHAVESH PATEL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: IL 021002604) |
| Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry (Licence: PA DS040633) |
| Enumeration Date | 2012-03-01 |
| Last Update Date | 2021-09-28 |