Organization
CHETNA K. DESAI, D.D.S, P.C.
Active
Other names
Desai Dental Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHETNA KARTIK DESAI D.D.S (PRESIDENT)
(410) 480-9111
Entity
Organization
Contact information
Practice address
3290 N. RIDGE ROAD, SUITE #180, ELLICOTT CITY, MD 21043
(410) 480-9111
(410) 480-9133
Mailing address
PO BOX 450, ELLICOTT CITY, MD 21041-0450
(410) 480-9111
(410) 480-9133
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12204
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008749100
—
MD
Enumeration date
10/03/2006
Last updated
01/17/2008
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