Organization
BYUN, HA, AND PATEL DDS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JETAN PATEL DDS (CORP SECRETARY)
(562) 967-0126
Entity
Organization
Contact information
Practice address
1872 N TUSTIN ST, ORANGE, CA 92865-4605
(714) 637-8662
Mailing address
12292 NANTUCKET PL, SEAL BEACH, CA 90740-2772
(562) 967-0126
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
02/16/2023
Last updated
02/16/2023
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