Organization
JAGRUTI PATEL DDS, A PROF. CORP.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAGRUTI PATEL DDS (PRESIDENT)
(760) 720-9196
Entity
Organization
Contact information
Practice address
12750 CARMEL COUNTRY RD, SUITE 114A, SAN DIEGO, CA 92130-2159
(858) 792-2511
(858) 792-4121
Mailing address
12750 CARMEL COUNTRY RD, SUITE 114A, SAN DIEGO, CA 92130-2159
(858) 792-2511
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
36105
CA
Other
Enumeration date
04/10/2008
Last updated
10/07/2008
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