Individual
DR. FELICIA DESAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
3155 PHOENIX CENTER DR, WASHINGTON, MO 63090-5689
(636) 431-2025
Mailing address
569 DONNELLY AVE, SPRINGFIELD, OH 45503-7430
(937) 360-5787
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
2021018540
MO
1223G0001X
General Practice Dentistry
Primary
2021018540
MO
Other
Enumeration date
05/23/2021
Last updated
05/23/2021
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