Patel Dental Corp,
Dentist in Hemet, CA. Organization (NPI-2).
NPI number1265697239
StatusActive
Last updated in NPPESJul 18, 2008
Details
- NPI
- 1265697239
- Entity type
- Organization (NPI-2)
- Legal business name
- Patel Dental Corp,
- Organization subpart
- No
- Enumeration date
- Jul 18, 2008
- Last updated
- Jul 18, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | 40705 | CA | Yes |
Other names
- Smile Shop (Doing Business As)
Practice location
4180 E Florida AveHemet, CA 92544-5079
Phone 951-306-0987
Mailing address
4180 E Florida AveHemet, CA 92544-5079
Phone 951-306-0987
Authorized official
Shailesh K Patel
President
9515514217
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