| Samir Patel Dds ,llc | |
|
332 Belleville Ave Bloomfield NJ 07003-3652 | |
| (973) 743-1755 | |
| (973) 743-6199 |
| Full Name | Samir Patel Dds ,llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 332 Belleville Ave, Bloomfield, New Jersey |
| Authorized Official Name and Position | Samir P Patel (SOLE MEMBER) |
| Authorized Official Contact | 9737431755 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Samir Patel Dds ,llc 332 Belleville Ave Bloomfield NJ 07003-3652 Ph: (973) 743-1755 | Samir Patel Dds ,llc 332 Belleville Ave Bloomfield NJ 07003-3652 Ph: (973) 743-1755 |
| NPI Number | 1790804920 |
|---|---|
| Provider Enumeration Date | 03/28/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790804920 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 20649 (New Jersey) | Primary |
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