Organization
DR VIMAL PATEL ,DDS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VIMAL PATEL (OWNER)
(951) 247-4747
Entity
Organization
Contact information
Practice address
26150 IRIS AVE STE 6, MORENO VALLEY, CA 92555-3009
(951) 247-4747
Mailing address
26150 IRIS AVE STE 6, MORENO VALLEY, CA 92555-3009
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
50668
CA
Other
Enumeration date
04/04/2016
Last updated
04/04/2016
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