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Organization

CHRISTIANA DENTAL ASSOCIATES, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. TARAL TUSHAR MEHTA D.M.D. (PARTNER)
(302) 442-0800
Entity
Organization

Contact information

Practice address
4745 OGLETOWN STANTON RD, NEWARK, DE 19713-2067
(302) 442-0800
Mailing address
4745 OGLETOWN STANTON RD, NEWARK, DE 19713-2067
(302) 442-0800

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
G1-0001263
DE
1223G0001X
General Practice Dentistry
G1-0001265
DE

Other

Enumeration date
03/17/2010
Last updated
03/17/2010
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