Individual
KAIRAVI PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4301 BULL CREEK RD STE 190, AUSTIN, TX 78731
(512) 884-5658
(512) 982-1262
Mailing address
4301 BULL CREEK RD STE 190, AUSTIN, TX 78731-5937
(512) 884-5658
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
36677
TX
Other
Enumeration date
09/08/2020
Last updated
10/21/2021
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