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Organization
MITAL PATEL DDS INC
Active
Organization
MITAL PATEL DDS INC
Active
Other names
Magnolia Family Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MITAL PATEL DDS (PRESIDENT)
(510) 378-1681
Entity
Organization
Contact information
Practice address
2561 3RD ST STE B, CERES, CA 95307-3230
(209) 538-9297
Mailing address
2561 3RD ST STE B, CERES, CA 95307-3230
(209) 538-9297
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
06/06/2017
Last updated
12/20/2020
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