Provider Demographics
NPI:1689387912
Name:ROMI PATEL DDS INC
Entity Type:Organization
Organization Name:ROMI PATEL DDS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:ROMI
Authorized Official - Middle Name:
Authorized Official - Last Name:PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:714-213-4406
Mailing Address - Street 1:303 S DIAMOND BAR BLVD # 2C
Mailing Address - Street 2:
Mailing Address - City:DIAMOND BAR
Mailing Address - State:CA
Mailing Address - Zip Code:91765-1613
Mailing Address - Country:US
Mailing Address - Phone:909-860-7579
Mailing Address - Fax:
Practice Address - Street 1:303 S DIAMOND BAR BLVD # 2C
Practice Address - Street 2:
Practice Address - City:DIAMOND BAR
Practice Address - State:CA
Practice Address - Zip Code:91765-1613
Practice Address - Country:US
Practice Address - Phone:909-860-7579
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-02
Last Update Date:2023-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental