| Patelprofessional Dental Corp. | |
|
579 E Foothill Blvd Rialto CA 92376-5223 | |
| (909) 874-5080 | |
| (909) 874-5081 |
| Full Name | Patelprofessional Dental Corp. |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| 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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