Individual
PARAG S PATEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
9275 BASELINE RD, RANCHO CUCAMONGA, CA 91730-1219
(909) 945-0024
(909) 948-0506
Mailing address
1136 CANYON DR, UPLAND, CA 91784-1011
(951) 751-8266
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
38728
CA
Other
Enumeration date
07/11/2013
Last updated
07/11/2013
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