Organization
DESAR AND PATEL PROFESSIONAL DENTAL CORPORATION
Active
Other names
Orangecrest Dental Group
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JYOTI V DESAR DDS (OWNER)
(951) 653-6663
Entity
Organization
Contact information
Practice address
19510 VAN BUREN BLVD, F 5, RIVERSIDE, CA 92508-9457
(951) 653-6663
(951) 656-5638
Mailing address
19510 VAN BUREN BLVD, F 5, RIVERSIDE, CA 92508-9457
(951) 653-6663
(951) 656-5638
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
41395
CA
Other
Enumeration date
02/01/2007
Last updated
08/27/2014
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