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Organization
PRAKASH P. PATEL D.DS INC
Active
Organization
PRAKASH P. PATEL D.DS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PRAKASH P PATEL D.D.S (PRESIDENT)
(909) 964-0613
Entity
Organization
Contact information
Practice address
4138 N. MAINE AVE, SUITE N-3, BALDWIN PARK, CA 91706
(626) 960-6395
(626) 960-6397
Mailing address
4138 N. MAINE AVE, SUITE N-3, BALDWIN PARK, CA 91706
(626) 960-6395
(626) 960-6397
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
33352
CA
Other
Enumeration date
06/16/2014
Last updated
06/16/2014
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