Organization
AURUM DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PRATIK PATEL MD (OWNER)
(214) 606-3029
Entity
Organization
Contact information
Practice address
5923 GREEN BAY RD, KENOSHA, WI 53144-3737
(262) 266-1777
(262) 266-1711
Mailing address
5923 GREEN BAY RD, KENOSHA, WI 53144-3737
(262) 266-1777
(262) 266-1711
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
261QD0000X
Dental Clinic/Center
—
—
Other
Enumeration date
09/09/2025
Last updated
09/09/2025
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