Organization
BYUN PATEL AND LEE A DENTAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JETAN PATEL DDS (OWNER)
(714) 568-1600
Entity
Organization
Contact information
Practice address
1313 W 17TH ST STE 13, SANTA ANA, CA 92706-3308
(714) 568-1600
(714) 568-1627
Mailing address
1313 W 17TH ST STE 13, SANTA ANA, CA 92706-3308
(714) 568-1600
(714) 568-1627
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
10/17/2018
Last updated
10/17/2018
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