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Organization
MISHEL MALHOTRA DMD DENTAL CORP
Active
Organization
MISHEL MALHOTRA DMD DENTAL CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MISHEL MALHOTRA DMD (OWNER DENTIST)
(707) 575-9200
Entity
Organization
Contact information
Practice address
70 STONY POINT RD STE E, SANTA ROSA, CA 95401-4460
(707) 575-9200
Mailing address
70 STONY POINT RD STE E, SANTA ROSA, CA 95401-4460
(707) 575-9200
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
104438
DENTAL LICENSE
CA
Enumeration date
06/01/2023
Last updated
06/01/2023
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