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Organization
MOJAVE DENTAL CENTER
Active
Organization
MOJAVE DENTAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YOGISH P MEHTA DDS (SOLE PROPRIATOR)
(760) 241-8090
Entity
Organization
Contact information
Practice address
14515 MOJAVE DR, SUITE A2, VICTORVILLE, CA 92394-6720
(760) 241-8090
Mailing address
14515 MOJAVE DR, SUITE A2, VICTORVILLE, CA 92394-6720
(760) 241-8090
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
34385
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
34385
—
CA
Enumeration date
02/19/2008
Last updated
02/19/2008
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