Byun, Ha, And Patel DDS, INC.
Clinic/Center, Dental in Orange, CA. Organization (NPI-2).
NPI number1679271985
StatusActive
Last updated in NPPESFeb 16, 2023
Details
- NPI
- 1679271985
- Entity type
- Organization (NPI-2)
- Legal business name
- Byun, Ha, And Patel DDS, INC.
- Organization subpart
- No
- Enumeration date
- Feb 16, 2023
- Certification date
- Feb 16, 2023
- Last updated
- Feb 16, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QD0000X | Clinic/Center, Dental | – | – | Yes |
Practice location
1872 N Tustin StOrange, CA 92865-4605
Phone 714-637-8662
Mailing address
12292 Nantucket PlSeal Beach, CA 90740-2772
Phone 562-967-0126
Authorized official
Jetan Patel
Corp Secretary
5629670126
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