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General NPI Number Information
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NPI Number | 1487576468
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Entity Type | Organization
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Legal Business Name | MS DESAI DDS INC
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Dates
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Enumeration Date | 07/29/2026
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Last Update Date | 07/29/2026
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Provider Practice Location Address
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Address Line | 2401 CLARIBEL RD STE H
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City | RIVERBANK
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State | CA
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Zip | 95367-9480
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Country | US
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Telephone | 209-869-4000
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Fax |
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Provider Business Mailing Address
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Address Line | 2401 CLARIBEL RD
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City | RIVERBANK
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State | CA
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Zip | 95367-9480
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Country | US
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Telephone | 209-869-4000
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MINAL DESAI
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Credential | DDS
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Telephone | 209-380-2643
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State |
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