Provider Demographics
NPI:1982898995
Name:PATEL, VIRENCHANDRA RAMANBHAI (DDS)
Entity Type:Individual
Prefix:DR
First Name:VIRENCHANDRA
Middle Name:RAMANBHAI
Last Name:PATEL
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6610 FOLSOM AUBURN RD
Mailing Address - Street 2:SUITE 8
Mailing Address - City:FOLSOM
Mailing Address - State:CA
Mailing Address - Zip Code:95630-2146
Mailing Address - Country:US
Mailing Address - Phone:916-988-3402
Mailing Address - Fax:916-988-3004
Practice Address - Street 1:6610 FOLSOM AUBURN RD
Practice Address - Street 2:SUITE 8
Practice Address - City:FOLSOM
Practice Address - State:CA
Practice Address - Zip Code:95630-2146
Practice Address - Country:US
Practice Address - Phone:916-988-3402
Practice Address - Fax:916-988-3004
Is Sole Proprietor?:No
Enumeration Date:2007-09-03
Last Update Date:2007-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA418631223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice