# NOMITA MEHTA DDS PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** 28th Ave Dental
- **Organization subpart:** No

## Provider details

- **NPI number:** 1700816022
- **Authorized official:** DR. NOMITA MEHTA DDS (GENERAL DENTIST)
- **Authorized official phone:** (509) 576-0600

## Contact information

- **Practice address:** 2802 W NOB HILL BLVD \# A, YAKIMA, WA 98902-4982
- **Practice address phone:** (509) 576-0600
- **Practice address fax:** (509) 576-0602
- **Mailing address:** 2802 W NOB HILL BLVD \# A, YAKIMA, WA 98902-4982
- **Mailing address phone:** (509) 576-0600
- **Mailing address fax:** (509) 576-0602

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | WA | Yes |

## Other

- **Enumeration date:** 07/03/2006
- **Last updated:** 07/21/2022