Individual
DHARA MEHTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
2205 S BROADWAY, SANTA MARIA, CA 93454-7813
(805) 346-2130
Mailing address
5777 GIBRALTAR DR, PLEASANTON, CA 94588-4780
(312) 952-9768
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
64197
CA
Other
Enumeration date
07/30/2012
Last updated
03/17/2018
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