| Amiel R. Patel, D.d.s; Prof. Dental Corp. | |
|
4921 Moreno St Montclair CA 91763-1522 | |
| (909) 625-3865 | |
| Not Available |
| Full Name | Amiel R. Patel, D.d.s; Prof. Dental Corp. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 4921 Moreno St, Montclair, California |
| Authorized Official Name and Position | Amiel Rajesh Patel (OWNER, PRESIDENT) |
| Authorized Official Contact | 9096253865 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Amiel R. Patel, D.d.s; Prof. Dental Corp. 4921 Moreno St Montclair CA 91763-1522 Ph: (909) 625-3865 | Amiel R. Patel, D.d.s; Prof. Dental Corp. 4921 Moreno St Montclair CA 91763-1522 Ph: (909) 625-3865 |
| NPI Number | 1538420575 |
|---|---|
| Provider Enumeration Date | 06/06/2012 |
| Last Update Date | 04/09/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538420575 | NPI | - | NPPES |
| B42210-01 | Other | CA | DENTICAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 42210 (California) | Primary |
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