Patel, Bholabhai N

Patel, Bholabhai N is an individual health care provider with primary practice located at 16466 Norwalk Blvd , Cerritos CA 90703-1929. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Patel, Bholabhai N can be contacted via phone (562) 926-6643.

Contact Information

Primary practice address
16466 Norwalk Blvd Cerritos CA 90703-1929
Phone: (562) 926-6643
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 30613 California

Profile Details

NPI number 1104819713
LBN Legal business name Patel, Bholabhai N
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2005
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104819713 NPPES
California MEDICAID 505483

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