# AESHNA MATHUR DMD, A PROFESSIONAL CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104047554
- **Authorized official:** AESHNA MATHUR DMD (PRESIDENT)
- **Authorized official phone:** (714) 476-6264

## Contact information

- **Practice address:** 1630 TULANE RD, CLAREMONT, CA 91711-3426
- **Practice address phone:** (909) 621-6201
- **Mailing address:** 1630 TULANE RD, CLAREMONT, CA 91711-3426

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223E0200X | Endodontics | 52543 | CA | Yes |

## Other

- **Enumeration date:** 05/02/2007
- **Last updated:** 08/22/2020