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NPI Code Detail

MEDICARE: DR. RAJNIKANT M PATEL DDS

MEDICARE:  DR. RAJNIKANT M PATEL  DDS
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
1122300000XDentist38898CA

General Provider Information

NPI Number : 1407986805
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. RAJNIKANT M PATEL DDS
Provider Business Mailing Address
First Line : 260 E ONTARIO AVE
Second Line : STE #102
City : CORONA
State : CA
Zip : 92879-3506
Country : US
Telephone Number : 951-278-9000
Fax Number : 951-278-9080
Provider Business Practice Location Address
First Line : 260 E ONTARIO AVE
Second Line : STE #102
City : CORONA
State : CA
Zip : 92879-3506
Country : US
Telephone Number : 951-278-9000
Fax Number : 951-278-9080
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/06/2007
Last Update Date : 10/08/2013

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Directions to “ DR. RAJNIKANT M PATEL DDS” Practice Location

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