Individual
MANSI MAHENDRA MEHTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
335R PRAIRIE AVENUE, PROVIDENCE, RI 02905
(401) 444-0430
(401) 444-0489
Mailing address
375 ALLENS AVE, PROVIDENCE, RI 02905-5010
(401) 444-0400
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DEN03281
RI
Other
Enumeration date
07/03/2014
Last updated
08/07/2015
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