Individual
JAY PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
7512 W OKLAHOMA AVE, WEST ALLIS, WI 53219-2860
(414) 312-4200
Mailing address
7512 W OKLAHOMA AVE, WEST ALLIS, WI 53219-2860
(414) 312-4200
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6001054-15
WI
Other
Enumeration date
08/11/2022
Last updated
02/22/2023
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