Individual
MRS. PRIYA DESAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
101 BELLBROOK AVE, XENIA, OH 45385
(937) 372-6060
(937) 352-0015
Mailing address
101 BELLBROOK AVE, XENIA, OH 45385
(937) 372-6060
(937) 352-0015
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
30015649
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0401550
—
OH
01
—
311073681026
CARE SOURCE
OH
Enumeration date
11/29/2006
Last updated
07/08/2007
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