Individual
DR. UDAY MEHTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, DMD
Contact information
Practice address
6731 MADISON ST, NEW PORT RICHEY, FL 34652-1928
(727) 842-5180
Mailing address
6731 MADISON ST, NEW PORT RICHEY, FL 34652-1928
Taxonomy
Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
DN18079
FL
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
ME118723
FL
Other
Enumeration date
07/28/2009
Last updated
03/05/2020
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