| Pravin R Desai Dds Inc | |
|
4127 East Gage Avenue Bell CA 90201-1128 | |
| (323) 773-2931 | |
| (323) 773-2933 |
| Full Name | Pravin R Desai Dds Inc |
|---|---|
| Speciality | Dentist |
| Location | 4127 East Gage Avenue, Bell, California |
| Authorized Official Name and Position | Pravin Ratilal Desai (PRESIDENT DENTIST OWNER) |
| Authorized Official Contact | 3237732931 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pravin R Desai Dds Inc 4127 East Gage Avenue Bell CA 90201-1128 Ph: (323) 773-2931 | Pravin R Desai Dds Inc 4127 East Gage Avenue Bell CA 90201-1128 Ph: (323) 773-2931 |
| NPI Number | 1578631362 |
|---|---|
| Provider Enumeration Date | 12/01/2006 |
| Last Update Date | 07/26/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578631362 | NPI | - | NPPES |
| B2853701 | Other | CA | MEDI CAL DENTAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 28537 (California) | Primary |
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