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Organization
PATEL PROFESSIONAL DENTAL CORP.
Active
Organization
PATEL PROFESSIONAL DENTAL CORP.
Active
Other names
Rancho Dental Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MAKBULAHMED PATEL D.D.S. (PRESIDENT)
(909) 476-0303
Entity
Organization
Contact information
Practice address
8110 MILLIKEN AVE STE 104, RANCHO CUCAMONGA, CA 91730-7470
(909) 476-0303
(909) 476-0255
Mailing address
8110 MILLIKEN AVE STE 104, RANCHO CUCAMONGA, CA 91730-7470
(909) 476-0303
(909) 476-0255
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
37000
CA
Other
Enumeration date
10/10/2016
Last updated
10/10/2016
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