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Organization
TX-DESAI DENTAL SAN ANTONIO LEGACY PLLC
Active
Organization
TX-DESAI DENTAL SAN ANTONIO LEGACY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAGRUTI DESAI (OWNER)
(315) 454-6000
Entity
Organization
Contact information
Practice address
1803 N LOOP 1604 E, SAN ANTONIO, TX 78232-1651
(315) 454-6000
Mailing address
PO BOX 3189, SYRACUSE, NY 13220-3189
(315) 454-6000
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
29090
—
Other
Enumeration date
08/23/2013
Last updated
08/23/2013
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