| Nimesh Patel A Professional Dental Corporation | |
|
30012 Crown Valley Pkwy Ste B Laguna Niguel CA 92677-1700 | |
| (949) 495-2866 | |
| (949) 495-2868 |
| Full Name | Nimesh Patel A Professional Dental Corporation |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 30012 Crown Valley Pkwy Ste B, Laguna Niguel, California |
| Authorized Official Name and Position | Nimesh Patel (OWNER) |
| Authorized Official Contact | 9494592866 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nimesh Patel A Professional Dental Corporation 30012 Crown Valley Pkwy Ste B Laguna Niguel CA 92677-1700 Ph: (949) 495-2866 | Nimesh Patel A Professional Dental Corporation 30012 Crown Valley Pkwy Ste B Laguna Niguel CA 92677-1700 Ph: (949) 495-2866 |
| NPI Number | 1386156131 |
|---|---|
| Provider Enumeration Date | 11/02/2017 |
| Last Update Date | 11/02/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386156131 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 52911 (California) | Primary |
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