Provider Demographics
NPI:1497843403
Name:PATEL, BRIJESH J (MD, DDS)
Entity Type:Individual
Prefix:DR
First Name:BRIJESH
Middle Name:J
Last Name:PATEL
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Gender:M
Credentials:MD, DDS
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Mailing Address - Street 1:145 PARK LANE
Mailing Address - Street 2:STE # 110
Mailing Address - City:MOORPARK
Mailing Address - State:CA
Mailing Address - Zip Code:93021
Mailing Address - Country:US
Mailing Address - Phone:805-532-1331
Mailing Address - Fax:805-532-1371
Practice Address - Street 1:145 PARK LN
Practice Address - Street 2:STE # 110
Practice Address - City:MOORPARK
Practice Address - State:CA
Practice Address - Zip Code:93021-2113
Practice Address - Country:US
Practice Address - Phone:805-532-1331
Practice Address - Fax:805-532-1371
Is Sole Proprietor?:No
Enumeration Date:2006-10-11
Last Update Date:2009-08-06
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAOMS 601223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery