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Organization
KINNARI PATEL
Active
Organization
KINNARI PATEL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KINNARI PATEL DDS (GENERAL DENTIST)
(650) 521-2124
Entity
Organization
Contact information
Practice address
431 E WARD ST, KENT, WA 98030-4537
(206) 508-4420
(206) 493-2767
Mailing address
431 E WARD ST, KENT, WA 98030-4537
(206) 508-4420
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE60105498
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1336475706
INDIVIDUAL NPI
—
Enumeration date
06/23/2010
Last updated
06/23/2010
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