| Grand Prairie Desai Dental Pllc | |
|
5030 S Hwy 360 Ste 200 Grand Prairie TX 75052-8277 | |
| (469) 346-8828 | |
| Not Available |
| Full Name | Grand Prairie Desai Dental Pllc |
|---|---|
| Speciality | Dentist |
| Location | 5030 S Hwy 360 Ste 200, Grand Prairie, Texas |
| Authorized Official Name and Position | Heliben Desai (OWNER) |
| Authorized Official Contact | 7323306062 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Grand Prairie Desai Dental Pllc 7308 Reverchon Dr Irving TX 75063-1214 Ph: (732) 330-6062 | Grand Prairie Desai Dental Pllc 5030 S Hwy 360 Ste 200 Grand Prairie TX 75052-8277 Ph: (469) 346-8828 |
| NPI Number | 1659980936 |
|---|---|
| Provider Enumeration Date | 07/23/2020 |
| Last Update Date | 07/23/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659980936 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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