| Dhara Mehta Dental Professional Corporation | |
|
1572 Sycamore Ave Ste G Hercules CA 94547-1772 | |
| (510) 799-9345 | |
| Not Available |
| Full Name | Dhara Mehta Dental Professional Corporation |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1572 Sycamore Ave Ste G, Hercules, California |
| Authorized Official Name and Position | Dhara Mehta (OWNER) |
| Authorized Official Contact | 3129529768 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dhara Mehta Dental Professional Corporation 1572 Sycamore Ave Ste G Hercules CA 94547-1772 Ph: (510) 799-9345 | Dhara Mehta Dental Professional Corporation 1572 Sycamore Ave Ste G Hercules CA 94547-1772 Ph: (510) 799-9345 |
| NPI Number | 1306645114 |
|---|---|
| Provider Enumeration Date | 03/12/2025 |
| Last Update Date | 03/12/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306645114 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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