# HARBOR DENTAL ASSOCIATES

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** VAISHALI PATEL DDS, INC
- **Other names:** Harbor Dental Associates
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1396184727
- **Legal business name:** VAISHALI PATEL DDS, INC
- **Authorized official:** CHRIS PATEL (MANAGER)
- **Authorized official phone:** (310) 971-8178

## Contact information

- **Practice address:** 25617 DODGE AVE, HARBOR CITY, CA 90710-3101
- **Practice address phone:** (310) 835-3144
- **Practice address fax:** (310) 830-4966
- **Mailing address:** 25617 DODGE AVE, HARBOR CITY, CA 90710-3101
- **Mailing address phone:** (310) 835-3144
- **Mailing address fax:** (310) 830-4966

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302R00000X | Health Maintenance Organization | 49973 | CA | Yes |

## Other

- **Enumeration date:** 06/19/2013
- **Last updated:** 06/19/2013