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Organization
PRAVIN R DESAI DDS INC
Active
Organization
PRAVIN R DESAI DDS INC
Active
Other names
Pravin R Desai DDS Inc, Dr Desai Gage Family Dental Group
Organization subpart
No
Provider details
NPI number
Authorized official
PRAVIN RATILAL DESAI DDS (PRESIDENT DENTIST OWNER)
(323) 773-2931
Entity
Organization
Contact information
Practice address
4127 EAST GAGE AVENUE, BELL, CA 90201-1128
(323) 773-2931
(323) 773-2933
Mailing address
4127 EAST GAGE AVENUE, BELL, CA 90201-1128
(323) 773-2931
(323) 773-2933
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
28537
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
B2853701
MEDI CAL DENTAL
CA
Enumeration date
12/01/2006
Last updated
07/26/2019
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