# DR DESAI DENTAL CORP

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Larwin Square Dentistry
- **Organization subpart:** No

## Provider details

- **NPI number:** 1871218214
- **Authorized official:** DR. HIRAL DESAI DDS (ONWER)
- **Authorized official phone:** (424) 303-1665

## Contact information

- **Practice address:** 604 E 1ST ST, TUSTIN, CA 92780-3418
- **Practice address phone:** (714) 505-9462
- **Mailing address:** 604 E 1ST ST, TUSTIN, CA 92780-3418
- **Mailing address phone:** (424) 303-1665
- **Mailing address fax:** (714) 505-2559

## Taxonomy

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