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Individual

DR. DIP DESAI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
633 S SAINT MARYS ST UNIT 3512, SAN ANTONIO, TX 78205-1222
(845) 548-9888
Mailing address
633 S SAINT MARYS ST UNIT 3512, SAN ANTONIO, TX 78205-1222
(845) 548-9888

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
05492
NY
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
30390
TX
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
63195
CA

Other

Enumeration date
07/23/2010
Last updated
07/21/2022
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