Organization
DR DESAI DENTAL CORP
Active
Other names
Larwin Square Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HIRAL DESAI DDS (ONWER)
(424) 303-1665
Entity
Organization
Contact information
Practice address
604 E 1ST ST, TUSTIN, CA 92780-3418
(714) 505-9462
Mailing address
604 E 1ST ST, TUSTIN, CA 92780-3418
(424) 303-1665
(714) 505-2559
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
1223G0001X
General Practice Dentistry
—
—
1223P0300X
Periodontics
—
—
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
—
—
1223X2210X
Orofacial Pain Dentistry
—
—
332BC3200X
Customized Equipment (DME)
—
—
Other
Enumeration date
10/07/2022
Last updated
03/03/2026
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