Individual
MEHUL J PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
423 N MACLAY AVE, SAN FERNANDO, CA 91340-2416
(805) 813-6074
Mailing address
423 N MACLAY AVE, SAN FERNANDO, CA 91340-2416
(805) 813-6074
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
104085
CA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
12013363A
IN
Other
Enumeration date
06/05/2019
Last updated
07/09/2024
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