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NPI Code Detail

MEDICARE: KAMLESH G. PATEL, D.M.D. P.A.

MEDICARE: KAMLESH G. PATEL, D.M.D. P.A.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223X0400XOrthodontics and Dentofacial Orthopedics Dentistry

General Provider Information

NPI Number : 1164420626
Entity Type Code : Organization
Provider Name (Legal Business Name) : KAMLESH G. PATEL, D.M.D. P.A.
Provider Business Mailing Address
First Line : 2415 MUSGROVE RD
Second Line : SUITE 104
City : SILVER SPRING
State : MD
Zip : 20904-5200
Country : US
Telephone Number : 301-879-9500
Fax Number :
Provider Business Practice Location Address
First Line : 2415 MUSGROVE RD
Second Line : SUITE 104
City : SILVER SPRING
State : MD
Zip : 20904-5224
Country : US
Telephone Number : 301-879-9500
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : DR. KAMLESH G PATEL
Credential : D.M.D.
Telephone Number : 301-879-9500
Provider Enumeration Date : 07/08/2005
Last Update Date : 04/29/2009

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