Individual
DIVYA YOGESH PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
4664 CLAIREMONT MESA BLVD, SAN DIEGO, CA 92117-2005
(619) 404-2144
Mailing address
4664 CLAIREMONT MESA BLVD, SAN DIEGO, CA 92117-2005
(503) 473-6656
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
105240
CA
Other
Enumeration date
05/27/2020
Last updated
08/20/2020
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