| Nisha M Patel, Dds Inc | |
|
905 S Lake St # 102 Burbank CA 91502-2436 | |
| (818) 843-6411 | |
| (818) 843-6416 |
| Full Name | Nisha M Patel, Dds Inc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 905 S Lake St, Burbank, California |
| Authorized Official Name and Position | Nisha M Patel (OWNER/PRESIDENT) |
| Authorized Official Contact | 8188436411 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nisha M Patel, Dds Inc 905 S Lake St # 102 Burbank CA 91502-2436 Ph: (818) 843-6411 | Nisha M Patel, Dds Inc 905 S Lake St # 102 Burbank CA 91502-2436 Ph: (818) 843-6411 |
| NPI Number | 1053856757 |
|---|---|
| Provider Enumeration Date | 01/04/2017 |
| Last Update Date | 01/04/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053856757 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 44431 (California) | Primary |
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