NPI 1003088576

Jigisha K Patel, DENTIST

Practitioner General Practice Dentistry Douglasville, GA

Practice location

Address: 6128 Prestley Mill Rd Suite-E, Douglasville, GA 30134-5621
Phone: (770) 949-0434
Fax: (770) 949-0886

Registered specialties

General Practice Dentistry Primary

Dental Providers Taxonomy 1223G0001X Licence GA-011358 (GA)

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Registry record

NPI: 1003088576
Entity type: Individual
Sex (as registered): Female
NPI issued: 25 Mar 2008
Record last updated: 25 Mar 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.