SearchArizona1223G0001X

Krishna Desai

NPI 1790430189 · on the registry since 2022 · sole proprietor

Practice

Address
7584 E State Route 69
Prescott Valley, AZ 86314
Phone
(510) 736-9890
Organisation at this address
Spark Dentistry Pllc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
4

Registry record

Primary taxonomy
1223G0001X
1223G0001X
Also registered as
122300000X
Licence states on file
VT, AZ
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2023-03-30

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arizona