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Organization
BYUN AND PATEL DDS INC
Active
Organization
BYUN AND PATEL DDS INC
Active
Other names
LA MIRADA DENTAL CARE
Organization subpart
No
Provider details
NPI number
Authorized official
JETAN PATEL DDS (OWNER DENTIST)
(714) 522-5152
Entity
Organization
Contact information
Practice address
15072 ROSECRANS AVE, LA MIRADA, CA 90638-4740
(714) 522-5152
Mailing address
12292 NANTUCKET PL, SEAL BEACH, CA 90740-2772
(562) 967-0126
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
12/11/2019
Last updated
12/11/2019
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