# PANKAJ K. PATEL, DMD & SHAILESH K. PATEL, DDS A PROF CORP

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Salida Surgery Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1588875967
- **Authorized official:** KIMBERLY LEE CASSARA RN (ADMINISTRATOR)
- **Authorized official phone:** (209) 543-9299

## Contact information

- **Practice address:** 5712 PIRRONE RD, SALIDA, CA 95368-9313
- **Practice address phone:** (209) 543-9299
- **Practice address fax:** (209) 543-9699
- **Mailing address:** 5712 PIRRONE RD, SALIDA, CA 95368-9313
- **Mailing address phone:** (209) 543-9299
- **Mailing address fax:** (209) 543-9699

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | Yes |
| 261QD0000X | Dental Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 05/25/2007
- **Last updated:** 03/11/2024