Patelprofessional Dental Corp. | |
579 E Foothill Blvd Rialto CA 92376-5223 | |
(909) 874-5080 | |
(909) 874-5081 |
Full Name | Patelprofessional Dental Corp. |
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Speciality | Dentist - General Practice |
Location | 579 E Foothill Blvd, Rialto, California |
Authorized Official Name and Position | Makbulahmed I Patel (PRESIDENT) |
Authorized Official Contact | 9098745080 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Patelprofessional Dental Corp. 579 E Foothill Blvd Rialto CA 92376-5223 Ph: (909) 874-5080 | Patelprofessional Dental Corp. 579 E Foothill Blvd Rialto CA 92376-5223 Ph: (909) 874-5080 |
NPI Number | 1003259268 |
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Provider Enumeration Date | 04/08/2013 |
Last Update Date | 04/08/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1003259268 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 37000 (California) | Primary |
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