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Provider Information for 1477670115



DR. YAGNABALA KAMAL PATEL D.D.S.

Other Name:   YAGI PATEL
Gender: FEMALE

Individual NPI: 1477670115

Calendar   Last Updated:  2014-11-28
  Certification Date: 

Details

Name Value
NPI 1477670115
Enumeration Date 2007-03-26
NPI Type 1 - Individual
Sole Proprietor YES
Status Active
Mailing Address 109 S ATLANTIC DR
LANTANA, FL 33462-1937
United States

Phone: 561-306-2646 | Fax:
View Map External Link
Primary Practice Address 5851 S CONGRESS AVE
ATLANTIS, FL 33462-1347
United States

Phone: 561-965-9988 | Fax: 561-965-0385
View Map External Link
Health Information Exchange
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location
Other Identifiers
Issuer State Number
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 1223G0001X - Dentist General Practice FL DN0011665