Individual
NOMITA MEHTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
2802 W NOB HILL BLVD # A, YAKIMA, WA 98902-4982
(509) 576-0600
(509) 576-0602
Mailing address
2802 WEST NOB HILL BLVD #A, YAKIMA, WA 98902-4982
(509) 576-0600
(509) 576-0602
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DE8769
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5038658
—
WA
01
—
DE8769
STATE PROFESIONAL LICENSE
WA
Enumeration date
05/31/2006
Last updated
09/14/2007
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