# HAVEN DENTAL STUDIO LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1629737309
- **Authorized official:** DR. KRUPA DESAI DDS (DENTIST)
- **Authorized official phone:** (972) 876-0905

## Contact information

- **Practice address:** 3205 S US 421, ZIONSVILLE, IN 46077
- **Practice address phone:** (972) 876-0905
- **Mailing address:** 3471 YANCEY PL, CARMEL, IN 46074-4705
- **Mailing address phone:** (972) 876-0905

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 12/10/2021
- **Last updated:** 12/10/2021