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Dr. Prutha Desai
Student in an Organized Health Care Education/Training Program in Streamwood, Illinois
NPI 1912369794

Prutha Desai is a Student in an Organized Health Care Education/Training Program based in Streamwood, IL. Prutha Desai practices in Streamwood, IL. The NPI Number for Prutha Desai is 1912369794 and holds a License No. 019.030690 (Illinois).

The current practice location address for Prutha Desai is 3 Warwick Ct, Streamwood, IL and can be reached out via phone at 630-415-9618.

Location: 3 Warwick Ct, Streamwood, IL, 60107-1926
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1912369794
Provider Name
Prutha Desai
Credential
Provider Entity Type
Individual
Gender
Female
Address
3 Warwick Ct, Streamwood, IL, 60107-1926
Phone Number
630-415-9618
Fax Number
Provider Enumeration Date
03/22/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3 Warwick Ct
City
Streamwood
State
Illinois
Zip
60107-1926
Phone Number
630-415-9618
Fax Number
person
Provider Business Mailing Address Details
Address
3 Warwick Ct
City
Streamwood
State
Illinois
Zip
60107-1926
Phone Number
630-415-9618
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
()
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
019.030690 (Illinois)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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