Desai, Mita
Desai, Mita is an individual health care provider with primary practice located at 4763 Barwick Dr Ste 106 , Fort Worth TX 76132-1531. She recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / General Practice. Dental Providers / General Practice is her primary health care specialty. Desai, Mita can be contacted via phone (817) 926-5485.Contact Information
Primary practice address
4763 Barwick Dr Ste 106
Fort Worth TX 76132-1531
Phone: (817) 926-5485
Fax: (817) 924-0014
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / Dentist | 122300000X | 21968 | Texas |
Dental Providers / General Practice | 1223G0001X | 21968 | Texas |
Profile Details
NPI number | 1770573594 |
---|---|
LBN Legal business name | Desai, Mita |
Credentials | Doctor of Dental Surgery (DDS) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 24th, 2005 |
Last updated | Jun 11th, 2019 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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