Provider Demographics
NPI:1891009692
Name:DESAI, SONAL (DDS)
Entity Type:Individual
Prefix:
First Name:SONAL
Middle Name:
Last Name:DESAI
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4913 RUFE SNOW DR
Mailing Address - Street 2:104
Mailing Address - City:NORTH RICHLAND HILLS
Mailing Address - State:TX
Mailing Address - Zip Code:76180-7856
Mailing Address - Country:US
Mailing Address - Phone:817-656-2945
Mailing Address - Fax:817-656-1695
Practice Address - Street 1:4913 RUFE SNOW DR
Practice Address - Street 2:104
Practice Address - City:NORTH RICHLAND HILLS
Practice Address - State:TX
Practice Address - Zip Code:76180-7856
Practice Address - Country:US
Practice Address - Phone:817-656-2945
Practice Address - Fax:817-656-1695
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-04
Last Update Date:2022-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX0025736122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist