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Organization
TX-DESAI DENTAL CORPUS CHRISTI PLLC
Active
Organization
TX-DESAI DENTAL CORPUS CHRISTI PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAGRUTI DESAI DDS (OWNER)
(315) 454-6000
Entity
Organization
Contact information
Practice address
5425 S PADRE ISLAND DR, 114, CORPUS CHRISTI, TX 78411-5301
(361) 980-3931
Mailing address
PO BOX 3189, SYRACUSE, NY 13220-3189
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
29090
TX
Other
Enumeration date
08/13/2013
Last updated
08/13/2013
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