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Organization
VAISHALI PATEL DDS, INC
Active
Organization
VAISHALI PATEL DDS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHRIS PATEL (MANAGER)
(310) 971-8178
Entity
Organization
Contact information
Practice address
207 W G ST, WILMINGTON, CA 90744-5405
(310) 549-2400
(310) 834-0634
Mailing address
207 W G ST, WILMINGTON, CA 90744-5405
(310) 549-2400
(310) 834-0634
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
CA49973
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G89646-01
DENTI CAL PROVIDER ID
CA
Enumeration date
01/02/2008
Last updated
01/02/2008
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