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Organization
R PATEL DDS INC A DENTAL CORPORATION
Active
Organization
R PATEL DDS INC A DENTAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAJUL K PATEL DDS (PRESIDENT)
(909) 860-7579
Entity
Organization
Contact information
Practice address
303 S DIAMOND BAR BLVD STE 2B&C, DIAMOND BAR, CA 91765
(909) 860-7579
(909) 860-2200
Mailing address
303 S DIAMOND BAR BLVD STE 2B&C, DIAMOND BAR, CA 91765
(909) 860-7579
(909) 860-2200
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
46123
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1223OOOOOX
122300000X
CA
Enumeration date
04/02/2007
Last updated
01/03/2018
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