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Pooja Patel

Dentist, General Practice in Rancho Cucamonga, CA. Individual provider (NPI-1).

NPI number1689366247
StatusActive
Last updated in NPPESJun 11, 2025

Details

NPI
1689366247
Entity type
Individual (NPI-1)
Name
Pooja Patel
Sex
Female
Sole proprietor
No
Enumeration date
May 23, 2023
Certification date
May 23, 2025
Last updated
Jun 11, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223G0001X Dentist, General PracticeDDS110279CAYes
390200000X Student in an Organized Health Care Education/Training Program––

Practice location

11561 Foothill Blvd Ste 104
Rancho Cucamonga, CA 91730-3999

Phone 949-656-0473

Mailing address

3184 E Lavender Dr,
Chino Hills, CA 91709

Phone 949-656-0473

Other practice locations

3480 E Ontario Ranch Rd Ste 5
Ontario, CA 91761-3920

Phone 909-284-4413

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