Individual
RAHUL PATEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1853 NORTHPORT DR, MADISON, WI 53704-3027
(732) 331-7222
Mailing address
607 S MUSKET RIDGE DR, SUN PRAIRIE, WI 53590-3427
(732) 331-7222
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6001166-15
WI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/26/2023
Last updated
06/06/2023
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