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Organization
USHA MANTENA DENTAL CORPORATION
Active
Organization
USHA MANTENA DENTAL CORPORATION
Active
Other names
Vacaville Dentistry and Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. USHA R MANTENA DDS (OWNER)
(707) 215-5259
Entity
Organization
Contact information
Practice address
671 ELMIRA RD, SUITE 130, VACAVILLE, CA 95687-4655
(707) 215-5259
(707) 416-2828
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
03/14/2016
Last updated
03/14/2016
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