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Organization
PATELPROFESSIONAL DENTAL CORP.
Active
Organization
PATELPROFESSIONAL DENTAL CORP.
Active
Other names
Rialto Dental Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MAKBULAHMED I PATEL D.D.S. (PRESIDENT)
(909) 874-5080
Entity
Organization
Contact information
Practice address
579 E FOOTHILL BLVD, RIALTO, CA 92376-5223
(909) 874-5080
(909) 874-5081
Mailing address
579 E FOOTHILL BLVD, RIALTO, CA 92376-5223
(909) 874-5080
(909) 874-5081
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
37000
CA
Other
Enumeration date
04/08/2013
Last updated
04/08/2013
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