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Organization
MR PATEL DDS, INC.
Active
Organization
MR PATEL DDS, INC.
Active
Other names
SIXTH & SMITH DENTAL CARE
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEYURKUMAR RATILAL PATEL D.D.S. (CEO)
(909) 267-0970
Entity
Organization
Contact information
Practice address
1530 W 6TH ST, #105, CORONA, CA 92882-2742
(909) 256-8481
(909) 256-8491
Mailing address
1530 W 6TH ST, #105, CORONA, CA 92882-2742
(909) 256-8481
(909) 256-8491
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
54570
CA
Other
Enumeration date
09/23/2015
Last updated
09/23/2015
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