| NPI | 1558617282 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PRASHANT RAMAN PATEL Owner 916-491-6282 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: KS 6981) |
| Enumeration Date | 2012-07-31 |
| Last Update Date | 2019-06-08 |