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Hardik K Patel, DMD

Dentist, General Practice in Peoria, IL. Individual provider (NPI-1).

NPI number1982199444
StatusActive
Last updated in NPPESJun 27, 2018

Details

NPI
1982199444
Entity type
Individual (NPI-1)
Name
Hardik K Patel
Credential
DMD
Sex
Male
Sole proprietor
No
Enumeration date
Jun 27, 2018
Last updated
Jun 27, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223G0001X Dentist, General Practice019.031626ILYes

Practice location

320 E Armstrong Ave
Peoria, IL 61603-3172

Phone 309-624-2411

Mailing address

5400 W Sienna Ln Apt 2202
Peoria, IL 61615-7857

Phone 608-354-9619

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