Organization
BYUN, LIU, AND PATEL A DENTAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JETAN PATEL DDS (CFO)
(562) 967-0126
Entity
Organization
Contact information
Practice address
1161 N EUCLID ST, ANAHEIM, CA 92801-1938
(714) 999-5050
Mailing address
12292 NANTUCKET PL, SEAL BEACH, CA 90740-2772
(562) 967-0126
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
10/22/2021
Last updated
10/22/2021
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