NPI | 1528232311 |
---|---|
Former Name | AMI R PATEL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 122300000X Dentist (Licence: NJ di02373000) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: NJ 22DI02372000) |
Enumeration Date | 2008-04-14 |
Last Update Date | 2017-12-04 |