Organization
DESAI DENTAL SPA, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RACHAEL GALE-MARIE KOPSCH (OFFICE MANAGER)
(248) 848-1126
Entity
Organization
Contact information
Practice address
28535 ORCHARD LAKE RD, SUITE # 400, FARMINGTON HILLS, MI 48334-2940
(248) 848-1126
Mailing address
28535 ORCHARD LAKE RD, SUITE # 400, FARMINGTON HILLS, MI 48334-2940
(248) 848-1126
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901016619
MI
Other
Enumeration date
12/07/2016
Last updated
12/07/2016
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