DR. Prutha Desai
NPI #1912369794 in Streamwood, Illinois
Provider Information
- NPI Number
- 1912369794
- Entity Type
- Individual
- Name
- DR. Prutha Desai
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Mar 22, 2016
- Last Updated
- Jan 10, 2018
Practice Location
- Address
- 3 WARWICK CT
- City
- Streamwood
- State
- Illinois
- ZIP Code
- 60107-1926
- Phone
- (630) 415-9618
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
| Student in an Organized Health Care Education/Training Program |
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