NPI | 1578631362 |
---|---|
Other Name | PRAVIN R DESAI DDS INC |
Doing Business As | DR DESAI GAGE FAMILY DENTAL GROUP |
Entity Type | Organization |
Authorized Contact | PRAVIN RATILAL DESAI President Dentist Owner 323-773-2931 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: CA 28537) |
Enumeration Date | 2006-12-01 |
Last Update Date | 2019-07-26 |