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Individual

DR. SHAMIK NAVIN DESAI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
453 E 14TH ST APT MA, NEW YORK, NY 10009-2823
(860) 490-7058
Mailing address
453 E 14TH ST APT MA, NEW YORK, NY 10009-2823
(860) 490-7058

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
22DI02521600
NJ

Other

Enumeration date
06/24/2015
Last updated
06/24/2015
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