Individual
KRUPA DESAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
3205 S US 421, ZIONSVILLE, IN 46077
(317) 973-4855
Mailing address
3471 YANCEY PL, CARMEL, IN 46074-4705
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
12012474A
IN
1223G0001X
General Practice Dentistry
Primary
12012474A
IN
Other
Enumeration date
05/31/2016
Last updated
12/12/2022
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