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Organization
HETATA & ALKHATEEB DENTAL CORP
Active
Organization
HETATA & ALKHATEEB DENTAL CORP
Active
Other names
Mesa Dental Center
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MAHA I HETATA DDS (OWNER)
(949) 646-2411
Entity
Organization
Contact information
Practice address
267 E 17TH ST, COSTA MESA, CA 92627
(949) 646-2411
(949) 646-9141
Mailing address
267 E 17TH ST, COSTA MESA, CA 92627
(949) 646-2411
(949) 646-9141
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
40830
CA
122300000X
Dentist
41699
CA
Other
Enumeration date
01/17/2008
Last updated
01/17/2008
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