Individual
KRISHNAKAMAL C MEHTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BDS
Contact information
Practice address
3641 CONNALLY DR, MARIANNA, FL 32446-7972
(321) 634-6392
Mailing address
3655 WEBB RD, MARIANNA, FL 32446-8047
(915) 235-1178
Taxonomy
Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
Primary
10953
FL
Other
Enumeration date
08/25/2006
Last updated
02/05/2021
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