Organization
BYUN AND PATEL DDS INC
Active
Other names
LA MIRADA DENTAL CARE
Organization subpart
No
Provider details
NPI number
Authorized official
JETAN PATEL DDS (OWNER DENTIST)
(714) 522-5152
Entity
Organization
Contact information
Practice address
15072 ROSECRANS AVE, LA MIRADA, CA 90638-4740
(714) 522-5152
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
12/11/2019
Last updated
12/11/2019
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