Prajeshkumar Y Desai D.D.S

NPI 1215150610 - Dentist - 122300000X

NPI Details
NPI 1215150610
Gender Male
Enumeration Date 04/11/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
1837 W 11TH ST
TRACY CA, 95376-3727, US
Phone (209) 834-2990
Fax (209) 834-2986
Business Location
1837 W 11TH ST
TRACY CA, 95376-3727, US
Phone (209) 834-2990
Fax (209) 834-2986
Toxanomy
Taxonomy Code 122300000X
License State California
License Number 44668
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According to our database, Prajeshkumar Y Desai D.D.S NPI is 1215150610, taxonomy code is 122300000X and license number is 44668, license state is located at California. Prajeshkumar Y Desai D.D.S physically located at 1837 W 11th St, Tracy CA, 95376-3727. NPI Number Prajeshkumar Y Desai D.D.S has the Individual type.

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1215150610 NPI number is provided on an as is basis without warranty of any kind. 1215150610 is maintained by the National Plan & Provider Enumeration System. The contents of Prajeshkumar Y Desai D.D.S are for informational purposes only.