Organization
ANJANA A.PATEL,DDS.,INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANJANA ARUN PATEL D.D.S. (PRESIDENT)
(814) 747-1648
Entity
Organization
Contact information
Practice address
2359 SKYLINE DR, FULLERTON, CA 92831-1127
(714) 747-1648
Mailing address
905 W WILSHIRE AVE, FULLERTON, CA 92832-1635
(714) 871-6161
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
38112
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
B38112-01
—
CA
Enumeration date
03/26/2014
Last updated
03/26/2014
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