Organization
DHARA MEHTA DENTAL PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DHARA MEHTA (OWNER)
(312) 952-9768
Entity
Organization
Contact information
Practice address
1572 SYCAMORE AVE STE G, HERCULES, CA 94547-1772
(510) 799-9345
Mailing address
1572 SYCAMORE AVE STE G, HERCULES, CA 94547-1772
(510) 799-9345
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
03/12/2025
Last updated
03/12/2025
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