Individual
DR. BHARATKUMAR DESAI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.,P.A.
Contact information
Practice address
1440 DUNN AVE, SUITE 1, JACKSONVILLE, FL 32218-6347
(904) 757-2500
(904) 757-0805
Mailing address
1440 DUNN AVE, SUITE 1, JACKSONVILLE, FL 32218-6347
(904) 757-2500
(904) 757-0805
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN0011247
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
073382200
—
FL
Enumeration date
03/29/2011
Last updated
03/29/2011
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