Individual
POOJA DESAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
176 AUBURN ST, AUBURN, MA 01501-1635
(508) 832-5731
Mailing address
176 AUBURN ST, AUBURN, MA 01501-1635
(508) 832-5731
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
11225
CT
122300000X
Dentist
Primary
DN1856615
MA
Other
Enumeration date
07/07/2014
Last updated
10/07/2016
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