# GRAND PRAIRIE DESAI DENTAL PLLC

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

## Provider details

- **NPI number:** 1659980936
- **Authorized official:** HELIBEN DESAI DMD (OWNER)
- **Authorized official phone:** (732) 330-6062

## Contact information

- **Practice address:** 5030 S HWY 360 STE 200, GRAND PRAIRIE, TX 75052-8277
- **Practice address phone:** (469) 346-8828
- **Mailing address:** 7308 REVERCHON DR, IRVING, TX 75063-1214
- **Mailing address phone:** (732) 330-6062

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | — | Yes |

## Other

- **Enumeration date:** 07/23/2020
- **Last updated:** 07/23/2020