Tejal Patel, DMD

NPI #1760035505 in Rockford, Illinois

Provider Information

NPI Number: 1760035505
Entity Type: Individual
Name: Tejal Patel, DMD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - General Practice
Credential: DMD
Enumeration Date: Jul 22, 2019
Last Updated: Jul 22, 2019

Practice Location

Address: 845 S PERRYVILLE RD UNIT 127
City: Rockford
State: Illinois
ZIP Code: 61108-4340
Phone: (779) 423-2135

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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