Individual
KETAN PATEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS, PHD
Contact information
Practice address
3300 OAKDALE AVE N, NORTH MEMORIAL MEDICAL CENTER, MINNEAPOLIS, MN 55422
(763) 581-5360
(763) 581-5361
Mailing address
3366 OAKDALE AVE N, SUITE 200, MINNEAPOLIS, MN 55422
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
S95
MN
Other
Enumeration date
06/17/2007
Last updated
10/31/2017
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