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Organization
DESAR AND PATEL PROFESSIONAL DENTAL CORPORATION
Active
Organization
DESAR AND PATEL PROFESSIONAL DENTAL CORPORATION
Active
Other names
Orangecrest Dental Group
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JYOTI V DESAR DDS (OWNER)
(951) 653-6663
Entity
Organization
Contact information
Practice address
19510 VAN BUREN BLVD, F 5, RIVERSIDE, CA 92508-9457
(951) 653-6663
(951) 656-5638
Mailing address
19510 VAN BUREN BLVD, F 5, RIVERSIDE, CA 92508-9457
(951) 653-6663
(951) 656-5638
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
41395
CA
Other
Enumeration date
02/01/2007
Last updated
08/27/2014
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