MEDICARE: DR. JALPA D. PATEL DMD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	59510	CA

General Provider Information

NPI Number	:	1992019319
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JALPA D. PATEL DMD

Provider Business Mailing Address
First Line	:	829 SAN DIEGO LN
Second Line	:
City	:	PLACENTIA
State	:	CA
Zip	:	92870-6220
Country	:	US
Telephone Number	:	714-931-9150
Fax Number	:

Provider Business Practice Location Address
First Line	:	829 SAN DIEGO LN
Second Line	:
City	:	PLACENTIA
State	:	CA
Zip	:	92870-6220
Country	:	US
Telephone Number	:	714-931-9150
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/27/2010
Last Update Date	:	02/08/2016

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