Individual
DR. BHAKTI K DESAI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
266 N JACKSON AVE, SUITE 2, SAN JOSE, CA 95116-1606
(408) 926-1135
(408) 926-1193
Mailing address
266 N JACKSON AVE, SUITE 2, SAN JOSE, CA 95116-1606
(408) 926-1135
(408) 926-1193
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
35870
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
B35870
MEDICAL PROVIDER NUMBER
CA
Enumeration date
11/16/2006
Last updated
07/08/2007
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