Individual
DR. ANIL MUKUND MEHTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
430 ENFIELD ST, ENFIELD, CT 06082-2481
(860) 265-7890
Mailing address
681 EAST STREET NORTH, SUFFIELD, CT 06078
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
008670
CT
Other
Enumeration date
07/24/2006
Last updated
02/22/2023
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