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Organization
SHANE PATEL, DDS, INC
Active
Organization
SHANE PATEL, DDS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHANE B PATEL DDS (OWNER DENTIST)
(714) 771-2600
Entity
Organization
Contact information
Practice address
2649 E CHAPMAN AVE, ORANGE, CA 92869-3239
(714) 261-3803
Mailing address
2649 E CHAPMAN AVE, ORANGE, CA 92869-3239
(714) 771-2600
(714) 771-0901
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
—
—
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
104154
DENTIST
CA
Enumeration date
12/13/2021
Last updated
03/03/2022
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