Organization
NIMESH PATEL A PROFESSIONAL DENTAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NIMESH PATEL DDS (OWNER)
(949) 459-2866
Entity
Organization
Contact information
Practice address
30012 CROWN VALLEY PKWY STE B, LAGUNA NIGUEL, CA 92677-1700
(949) 495-2866
(949) 495-2868
Mailing address
30012 CROWN VALLEY PKWY STE B, LAGUNA NIGUEL, CA 92677-1700
(949) 495-2866
(949) 495-2868
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
52911
CA
Other
Enumeration date
11/02/2017
Last updated
11/02/2017
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