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Organization
CHETAN K MEHTA DMD MSD INC
Active
Organization
CHETAN K MEHTA DMD MSD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAELA MUNIZ (VP, PAYOR RELATIONS)
(469) 324-3242
Entity
Organization
Contact information
Practice address
13372 NEWPORT AVE STE C, TUSTIN, CA 92780-3426
(714) 838-1238
(714) 838-9586
Mailing address
13372 NEWPORT AVE STE C, TUSTIN, CA 92780-3426
(714) 838-1238
(714) 838-9586
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
—
—
Other
Enumeration date
09/07/2026
Last updated
09/07/2026
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