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Individual

DR. TORAL N DESAI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
O.D.

Contact information

Practice address
3464 PENTAGON PARK BLVD, BEAVERCREEK, OH 45431
(937) 429-4060
(937) 429-9675
Mailing address
2629 MCKINLEY PL, BEAVERCREEK, OH 45431
(937) 689-9029

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
5546
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2679589
OH
Enumeration date
10/10/2006
Last updated
09/22/2021
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