Individual
DR. KAELAN PATEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
2905 SW CEDAR HILLS BLVD STE 120, BEAVERTON, OR 97005-1471
(503) 396-4071
Mailing address
10736 NW GLENMORE WAY, PORTLAND, OR 97229-4082
(503) 720-1489
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D11845
OR
Other
Enumeration date
07/13/2023
Last updated
07/13/2023
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