Organization
HARBOR DENTAL ASSOCIATES
Active
Parent organization
VAISHALI PATEL DDS, INC
Other names
Harbor Dental Associates
Organization subpart
Yes
Provider details
NPI number
Legal business name
VAISHALI PATEL DDS, INC
Authorized official
CHRIS PATEL (MANAGER)
(310) 971-8178
Entity
Organization
Contact information
Practice address
25617 DODGE AVE, HARBOR CITY, CA 90710-3101
(310) 835-3144
(310) 830-4966
Mailing address
25617 DODGE AVE, HARBOR CITY, CA 90710-3101
(310) 835-3144
(310) 830-4966
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
49973
CA
Other
Enumeration date
06/19/2013
Last updated
06/19/2013
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