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:

Map and Directions

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 7 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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