Hetal P Desai

NPI #1770868978 in Muskogee, Oklahoma

Provider Information

NPI Number: 1770868978
Entity Type: Individual
Name: Hetal P Desai
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Enumeration Date: Oct 19, 2011
Last Updated: Jan 16, 2014

Practice Location

Address: 930A W SHAWNEE ST
City: Muskogee
State: Oklahoma
ZIP Code: 74401-3511
Phone: (918) 682-2819

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary
Dentist	122300000X

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