DR. Shivani Chetan Desai, DMD
NPI #1184032666 in Bloomington, Illinois
Provider Information
- NPI Number
- 1184032666
- Entity Type
- Individual
- Name
- DR. Shivani Chetan Desai, DMD
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist
- Credential
- DMD
- Enumeration Date
- Jul 28, 2014
- Last Updated
- Jul 28, 2014
Practice Location
- Address
- 1904 WAKEFIELD LN
- City
- Bloomington
- State
- Illinois
- ZIP Code
- 61704-9196
- Phone
- (309) 287-4952
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
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