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Individual
UTSAV DESAI
Active
Individual
UTSAV DESAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
11167
CT
1223G0001X
General Practice Dentistry
2901020546
MI
1223G0001X
General Practice Dentistry
38840
PA
Other
Enumeration date
07/25/2011
Last updated
05/21/2020
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