# DR VIMAL PATEL ,DDS INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1205299401
- **Authorized official:** VIMAL PATEL (OWNER)
- **Authorized official phone:** (951) 247-4747

## Contact information

- **Practice address:** 26150 IRIS AVE STE 6, MORENO VALLEY, CA 92555-3009
- **Practice address phone:** (951) 247-4747
- **Mailing address:** 26150 IRIS AVE STE 6, MORENO VALLEY, CA 92555-3009

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 50668 | CA | Yes |

## Other

- **Enumeration date:** 04/04/2016
- **Last updated:** 04/04/2016