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Organization
MANTENA AND GHAZAL DENTAL CORPORATION
Active
Organization
MANTENA AND GHAZAL DENTAL CORPORATION
Active
Other names
Nut Tree Smiles Dentistry and Orthodontics Dental Group
Organization subpart
No
Provider details
NPI number
Authorized official
DR. USHA MANTENA DMD (OWNER DOCTOR)
(707) 451-8390
Entity
Organization
Contact information
Practice address
110 NUT TREE PARKWAY, VACAVILLE, CA 95687
(707) 451-8390
(707) 451-8579
Mailing address
17000 RED HILL AVE, IRVINE, CA 92614-5626
(714) 845-8890
(949) 474-1495
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
12/16/2011
Last updated
11/12/2013
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