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Organization
MEHTA DENTAL CORPORATION
Active
Organization
MEHTA DENTAL CORPORATION
Active
Other names
WILDWOOD DENTAL GROUP
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MAHENDRA KUMAR V. MEHTA DDS (OWNER DDS)
(909) 886-4864
Entity
Organization
Contact information
Practice address
3972 N WATERMAN AVE, STE. 110, SAN BERNARDINO, CA 92404-1700
(951) 886-4864
(951) 882-0876
Mailing address
2860 MICHELLE, 2ND FLOOR, IRVINE, CA 92606-1009
(714) 508-3600
(714) 368-2092
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
10/03/2006
Last updated
06/03/2009
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