Individual
DR. AMAR PATTANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
134 S 4TH ST, DELAVAN, WI 53115-1802
(262) 728-9330
Mailing address
6237 N BAY RIDGE AVE, WHITEFISH BAY, WI 53217-4328
(847) 867-6266
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
1001309 - 15
WI
1223G0001X
General Practice Dentistry
1001309 - 15
WI
Other
Enumeration date
05/16/2016
Last updated
07/16/2016
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