| Riddhi J Desai Dmd Pllc | |
|
727 W Madison St Apt 1208 Chicago IL 60661-2409 | |
| (814) 233-6460 | |
| Not Available |
| Full Name | Riddhi J Desai Dmd Pllc |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 727 W Madison St Apt 1208, Chicago, Illinois |
| Authorized Official Name and Position | Riddhi Desai (ORTHODONTIST) |
| Authorized Official Contact | 8142336460 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Riddhi J Desai Dmd Pllc 727 W Madison St Apt 1208 Chicago IL 60661-2409 Ph: (814) 233-6460 | Riddhi J Desai Dmd Pllc 727 W Madison St Apt 1208 Chicago IL 60661-2409 Ph: (814) 233-6460 |
| NPI Number | 1922645308 |
|---|---|
| Provider Enumeration Date | 12/04/2019 |
| Last Update Date | 12/04/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922645308 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
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