Organization
RIDDHI J DESAI DMD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RIDDHI DESAI DMD (ORTHODONTIST)
(814) 233-6460
Entity
Organization
Contact information
Practice address
727 W MADISON ST APT 1208, CHICAGO, IL 60661-2409
(814) 233-6460
Mailing address
727 W MADISON ST APT 1208, CHICAGO, IL 60661-2409
(814) 233-6460
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
12/04/2019
Last updated
12/04/2019
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