Individual
DR. KRUNAL KAUSHIKBHAI PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2320 E MORELAND BLVD STE A, WAUKESHA, WI 53186-2948
(262) 524-9000
Mailing address
12168 MOUNT VERNON AVE UNIT 30, GRAND TERRACE, CA 92313-5541
(201) 736-1176
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
107748
CA
122300000X
Dentist
Primary
6001327-15
WI
Other
Enumeration date
08/11/2022
Last updated
08/09/2023
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