Individual
AMIT PATEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3900 N BAY DR, RACINE, WI 53402-3632
(847) 704-2361
Mailing address
7971 S 6TH ST APT 217, OAK CREEK, WI 53154-2030
(847) 704-2361
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
100163115
WI
Other
Enumeration date
07/05/2017
Last updated
02/03/2020
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