Most Relevant Information
Provider Data
| NPI Number: | 1003476771 |
| Provider Name: | PALAK PATEL D.M.D |
| Entity Type: | Individual |
| Taxonomy Code: | 122300000X |
| Specialty: | Dentist |
| License Number: | 019.032177 |
Most Important Dates
| Enumeration Date: | 06/16/2019 |
| Last Updated: | 01/15/2021 |
Provider Practice Location
18175 GOESEL DR
TINLEY PARK
IL
604878668
Practice Location Phone/Fax
| Phone: | 7089167610 |
| Fax: |
Provider Mailing Location
18175 GOESEL DR
TINLEY PARK
IL
604878668
Provider Mailing Phone/Fax
| Phone: | 7089167610 |
| Fax: |