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Organization
MEHTA-PANDYA PROFESSIONAL DENTAL CORP
Active
Organization
MEHTA-PANDYA PROFESSIONAL DENTAL CORP
Active
Other names
bayside dental care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MAYUR B MEHTA III D.D.S. (PRESIDENT)
(310) 792-4627
Entity
Organization
Contact information
Practice address
1884 1/2 S PACIFIC COAST HWY, REDONDO BEACH, CA 90277-6117
(310) 792-4627
(310) 792-4629
Mailing address
1884 1/2 S PACIFIC COAST HWY, REDONDO BEACH, CA 90277-6117
(310) 792-4627
(310) 792-4629
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
50491
CA
1223G0001X
General Practice Dentistry
50805
CA
Other
Enumeration date
01/12/2009
Last updated
01/12/2009
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