Individual
DR. NAINESH A DESAI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
C2 CORNWALL DR, EAST BRUNSWICK, NJ 08816-3352
(732) 254-2550
Mailing address
115 COPPERFIELD LN, METUCHEN, NJ 08840-1234
(732) 983-3953
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
2901019029
MI
1223P0700X
Prosthodontics
Primary
053230
NY
1223P0700X
Prosthodontics
22DI02334300
NJ
Other
Enumeration date
09/17/2006
Last updated
05/23/2010
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