| Perry Patel Dds,inc | |
|
901 Oak Park Blvd Ste 103 Pismo Beach CA 93449-3409 | |
| (805) 489-4761 | |
| Not Available |
| Full Name | Perry Patel Dds,inc |
|---|---|
| Speciality | Dentist |
| Location | 901 Oak Park Blvd Ste 103, Pismo Beach, California |
| Authorized Official Name and Position | Perry Patel (OWNER) |
| Authorized Official Contact | 8054894761 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Perry Patel Dds,inc 901 Oak Park Blvd Ste 103 Pismo Beach CA 93449-3409 Ph: (805) 489-4761 | Perry Patel Dds,inc 901 Oak Park Blvd Ste 103 Pismo Beach CA 93449-3409 Ph: (805) 489-4761 |
| NPI Number | 1609259621 |
|---|---|
| Provider Enumeration Date | 07/08/2015 |
| Last Update Date | 07/08/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609259621 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 45400 (California) | Primary |
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