Provider Demographics
NPI:1689926297
Name:PATEL, BELA RAMBHAI (DDS)
Entity Type:Individual
Prefix:
First Name:BELA
Middle Name:RAMBHAI
Last Name:PATEL
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1775 MILMONT DR
Mailing Address - Street 2:APT. R207
Mailing Address - City:MILPITAS
Mailing Address - State:CA
Mailing Address - Zip Code:95035-3042
Mailing Address - Country:US
Mailing Address - Phone:714-612-2062
Mailing Address - Fax:
Practice Address - Street 1:1172 MURPHY AVE
Practice Address - Street 2:SUITE 140
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95131-2418
Practice Address - Country:US
Practice Address - Phone:408-436-8565
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-10-05
Last Update Date:2012-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA61823122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist