Individual
PHORUM DESAI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1919 7TH AVE S, BIRMINGHAM, AL 35233-2005
(832) 314-1819
Mailing address
1920 3RD AVE S APT 501, BIRMINGHAM, AL 35233-2151
(832) 314-1819
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
A-28029
ZZ
Other
Enumeration date
06/23/2021
Last updated
06/23/2021
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