| NPI | 1982828414 |
|---|---|
| Doing Business As | PALM CANYON DENTAL OFFICE |
| Entity Type | Organization |
| Authorized Contact | KIRIT R PATEL CEO Dentist 760-322-1002 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 50667) |
| Enumeration Date | 2007-04-13 |
| Last Update Date | 2012-05-15 |