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Organization
DR DESAI DENTAL CORP
Active
Organization
DR DESAI DENTAL CORP
Active
Other names
Larwin Square Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HIRAL DESAI DDS (ONWER)
(424) 303-1665
Entity
Organization
Contact information
Practice address
604 E 1ST ST, TUSTIN, CA 92780-3418
(714) 505-9462
Mailing address
604 E 1ST ST, TUSTIN, CA 92780-3418
(424) 303-1665
(714) 505-2559
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
1223G0001X
General Practice Dentistry
—
—
1223P0300X
Periodontics
—
—
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
—
—
1223X2210X
Orofacial Pain Dentistry
—
—
332BC3200X
Customized Equipment (DME)
—
—
Other
Enumeration date
10/07/2022
Last updated
03/03/2026
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