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Organization

NISHA M PATEL, DDS INC

Active
Other names
Alameda Family & Cosmetic Dental Practice
Organization subpart
No

Provider details

NPI number
Authorized official
DR. NISHA M PATEL DDS (OWNER/PRESIDENT)
(818) 843-6411
Entity
Organization

Contact information

Practice address
905 S LAKE ST, # 102, BURBANK, CA 91502-2436
(818) 843-6411
(818) 843-6416
Mailing address
905 S LAKE ST, # 102, BURBANK, CA 91502-2436
(818) 843-6411
(818) 843-6416

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
44431
CA

Other

Enumeration date
01/04/2017
Last updated
01/04/2017
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