Individual
BHOLABHAI N PATEL
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
16466 NORWALK BLVD, CERRITOS, CA 90703-1929
(562) 926-6643
Mailing address
16466 NORWALK BLVD, CERRITOS, CA 90703-1929
(562) 926-6643
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
30613
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
505483
—
CA
Enumeration date
08/30/2005
Last updated
07/08/2007
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