Individual
SAMVID DESAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6340 N CHATHAM AVE, KANSAS CITY, MO 64151-2473
(816) 746-1171
Mailing address
6340 N CHATHAM AVE, KANSAS CITY, MO 64151-2473
(816) 746-1171
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2022018761
MO
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/26/2022
Last updated
07/11/2022
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