Provider Demographics
NPI:1740422641
Name:SHITAL PATEL D.D.S. & RAKESH PATEL D.D.S., INC
Entity Type:Organization
Organization Name:SHITAL PATEL D.D.S. & RAKESH PATEL D.D.S., INC
Other - Org Name:ALL SMILES ORTHODONTICS & CHILDREN'S DENTISTRY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SECRETARY
Authorized Official - Prefix:DR
Authorized Official - First Name:RAKESH
Authorized Official - Middle Name:R
Authorized Official - Last Name:PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:951-898-8845
Mailing Address - Street 1:160 E ONTARIO AVE
Mailing Address - Street 2:SUITE #103
Mailing Address - City:CORONA
Mailing Address - State:CA
Mailing Address - Zip Code:92879-3510
Mailing Address - Country:US
Mailing Address - Phone:951-898-8845
Mailing Address - Fax:951-898-6985
Practice Address - Street 1:160 E ONTARIO AVE
Practice Address - Street 2:SUITE #103
Practice Address - City:CORONA
Practice Address - State:CA
Practice Address - Zip Code:92879-3510
Practice Address - Country:US
Practice Address - Phone:951-898-8845
Practice Address - Fax:951-898-6985
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-24
Last Update Date:2013-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA442381223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Multi-Specialty