Individual
BIRJU ASHOK MEHTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
10900 LOS ALAMITOS BLVD, LOS ALAMITOS, CA 90720-2354
(562) 596-8888
(562) 596-8178
Mailing address
10900 LOS ALAMITOS BLVD, LOS ALAMITOS, CA 90720-2354
(562) 596-8888
(562) 596-8178
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
100160
CA
Other
Enumeration date
04/26/2016
Last updated
04/26/2016
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