| Mehta Dental Group | |
|
330 N State College Blvd 105 Anaheim CA 92806 | |
| (714) 772-5005 | |
| Not Available |
| Full Name | Mehta Dental Group |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 330 N State College Blvd, Anaheim, California |
| Authorized Official Name and Position | Ashokkumar Shantilal Mehta (D.D.S/OWNER) |
| Authorized Official Contact | 7149284299 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mehta Dental Group 330 N State College Blvd 105 Anaheim CA 92806 Ph: (714) 772-5005 | Mehta Dental Group 330 N State College Blvd 105 Anaheim CA 92806 Ph: (714) 772-5005 |
| NPI Number | 1932866183 |
|---|---|
| Provider Enumeration Date | 11/23/2021 |
| Last Update Date | 05/17/2022 |
| Certification Date | 05/17/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932866183 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | () | Primary |
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | () | Secondary |
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