EKTA DESAI

WAUWATOSA, WI
NPI1801240627
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: WI  1001318)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
122300000X Dentist
(Licence: WI  1001318-15)
Enumeration Date2016-04-18
Last Update Date2020-10-28
Business Address
Ms. EKTA DESAI DDS
11711 W BURLEIGH ST
WAUWATOSA, WI 53222-3108
Phone number: 414-771-2345
Mailing Address
Ms. EKTA DESAI DDS
11711 W BURLEIGH ST
WAUWATOSA, WI 53222-3108
Phone number: 414-771-2345