NPI | 1720030364 |
---|---|
Former Legal Business Name | JAYSHREE A. PATEL DDS |
Entity Type | Organization |
Authorized Contact | JAYSHREE ASHWIN PATEL President 904-771-0933 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DN0009954) |
Enumeration Date | 2006-05-16 |
Last Update Date | 2018-06-21 |