Individual
AMIT MEHRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
55 MERIDIAN ST, EAST BOSTON, MA 02128-1959
(617) 567-1300
Mailing address
1016 CANYON RIDGE DR, BROAD BROOK, CT 06016-5605
(617) 834-0111
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN1855700
MA
Other
Enumeration date
06/16/2011
Last updated
03/22/2012
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