| Pankaj K. Patel, Dmd & Shailesh K. Patel, Dds A Prof Corp | |
|
5712 Pirrone Rd Salida CA 95368-9313 | |
| (209) 543-9299 | |
| (209) 543-9699 |
| Full Name | Pankaj K. Patel, Dmd & Shailesh K. Patel, Dds A Prof Corp |
|---|---|
| Speciality | Clinic/Center |
| Location | 5712 Pirrone Rd, Salida, California |
| Authorized Official Name and Position | Kimberly Lee Cassara (ADMINISTRATOR) |
| Authorized Official Contact | 2095439299 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pankaj K. Patel, Dmd & Shailesh K. Patel, Dds A Prof Corp 5712 Pirrone Rd Salida CA 95368-9313 Ph: (209) 543-9299 | Pankaj K. Patel, Dmd & Shailesh K. Patel, Dds A Prof Corp 5712 Pirrone Rd Salida CA 95368-9313 Ph: (209) 543-9299 |
| NPI Number | 1588875967 |
|---|---|
| Provider Enumeration Date | 05/25/2007 |
| Last Update Date | 03/11/2024 |
| Medicare PECOS PAC ID | 2163423724 |
|---|---|
| Medicare Enrollment ID | O20070124000651 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588875967 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Secondary |
| 261QA1903X | Clinic/center - Ambulatory Surgical | (* (Not Available)) | Primary |
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