| Prakash P. Patel D.ds Inc | |
|
4138 N. Maine Ave Suite N-3 Baldwin Park CA 91706 | |
| (626) 960-6395 | |
| (626) 960-6397 |
| Full Name | Prakash P. Patel D.ds Inc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 4138 N. Maine Ave, Baldwin Park, California |
| Authorized Official Name and Position | Prakash P Patel (PRESIDENT) |
| Authorized Official Contact | 9099640613 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Prakash P. Patel D.ds Inc 4138 N. Maine Ave Suite N-3 Baldwin Park CA 91706 Ph: (626) 960-6395 | Prakash P. Patel D.ds Inc 4138 N. Maine Ave Suite N-3 Baldwin Park CA 91706 Ph: (626) 960-6395 |
| NPI Number | 1487068748 |
|---|---|
| Provider Enumeration Date | 06/16/2014 |
| Last Update Date | 06/16/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487068748 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 33352 (California) | Primary |
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