Individual
KRUPA M PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6430 GREEN BAY RD, KENOSHA, WI 53142-2948
(262) 653-3980
Mailing address
1312 S SIR GALAHAD LN APT 3B, MOUNT PROSPECT, IL 60056-5140
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1002161-15
WI
Other
Enumeration date
07/16/2019
Last updated
07/16/2019
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