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Individual
BHAVIK S. DESAI
Active
Individual
BHAVIK S. DESAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD, PHD
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
0401413562
VA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
1002220-15
WI
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
DN015544
GA
125Q00000X
Oral Medicine Dentistry
DN1857012
MA
Other
Enumeration date
05/05/2010
Last updated
06/18/2025
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