| Dr Desai Dental Corp | |
|
604 E 1st St Tustin CA 92780-3418 | |
| (714) 505-9462 | |
| Not Available |
| Full Name | Dr Desai Dental Corp |
|---|---|
| Speciality | Clinic/Center |
| Location | 604 E 1st St, Tustin, California |
| Authorized Official Name and Position | Hiral Desai (ONWER) |
| Authorized Official Contact | 4243031665 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Desai Dental Corp 604 E 1st St Tustin CA 92780-3418 Ph: (424) 303-1665 | Dr Desai Dental Corp 604 E 1st St Tustin CA 92780-3418 Ph: (714) 505-9462 |
| NPI Number | 1871218214 |
|---|---|
| Provider Enumeration Date | 10/07/2022 |
| Last Update Date | 10/07/2022 |
| Medicare PECOS PAC ID | 1254799760 |
|---|---|
| Medicare Enrollment ID | O20230615000627 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871218214 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
| Provider Name | Hiral Desai |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1770129926 PECOS PAC ID: 9234597741 Enrollment ID: I20230706001365 |
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