Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
KUNJAL PATEL DENTAL CORP
Active
Organization
KUNJAL PATEL DENTAL CORP
Active
Other names
Heritage Dental Group
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KUNJAL PATEL DDS (OWNER DENTIST)
(909) 899-8040
Entity
Organization
Contact information
Practice address
13677 FOOTHILL BLVD, SUITE #L, FONTANA, CA 92335-0214
(909) 899-8040
(909) 463-7424
Mailing address
13677 FOOTHILL BLVD, SUITE #L, FONTANA, CA 92335-0214
(909) 899-8040
(909) 463-7424
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
B34037
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
511274
MEDI CAL CA STATE PROGRAM
—
Enumeration date
02/21/2007
Last updated
08/22/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up