Individual
KOSHA DESAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2215 SW WESTPORT DR, TOPEKA, KS 66614-1926
(785) 228-0100
Mailing address
2646 SW LAGITO DR, TOPEKA, KS 66614-4950
(785) 554-9158
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
62090
KS
Other
Enumeration date
07/07/2023
Last updated
07/07/2023
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