Individual
ADITYA DESAI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4017 N PRINCE ST, CLOVIS, NM 88101-9705
(888) 988-4066
(847) 496-4850
Mailing address
2050 E ALGONQUIN RD, SCHAUMBURG, IL 60173-4144
(888) 988-4066
(847) 496-4850
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DD4374
NM
1223G0001X
General Practice Dentistry
36819
TX
Other
Enumeration date
08/04/2015
Last updated
01/14/2021
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