# P S PATEL PROFESSIONAL DENTAL CORP

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- **Entity:** Organization
- **Status:** Active
- **Other names:** CALIFORNIA DENTAL CARE
- **Organization subpart:** No

## Provider details

- **NPI number:** 1386776698
- **Authorized official:** DR. PARAG S PATEL DDS (OWNER)
- **Authorized official phone:** (909) 945-0024

## Contact information

- **Practice address:** 9275 BASELINE RD, RANCHO CUCAMONGA, CA 91730-1219
- **Practice address phone:** (909) 945-0024
- **Practice address fax:** (909) 948-0506
- **Mailing address:** 9275 BASELINE RD, RANCHO CUCAMONGA, CA 91730-1219
- **Mailing address phone:** (909) 945-0024
- **Mailing address fax:** (909) 948-0506

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 20545 | CA | — |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 29281 | CA | Yes |
| 1223X0400X | Orthodontics and Dentofacial Orthopedics Dentistry | 38728 | CA | — |

## Other

- **Enumeration date:** 03/12/2007
- **Last updated:** 09/11/2025