Individual
NISARG PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
179 N TUSTIN ST, ORANGE, CA 92867-7716
(714) 288-1035
Mailing address
179 N TUSTIN ST, ORANGE, CA 92867-7716
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
DDS104051
CA
Other
Enumeration date
07/11/2018
Last updated
04/24/2024
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