Individual
DR. SANJAY MEHTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1196 W BOUGHTON RD, SUITE J, BOLINGBROOK, IL 60440-6567
(630) 759-9929
Mailing address
1196 W BOUGHTON RD, SUITE J, BOLINGBROOK, IL 60440-6567
(630) 759-9929
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
IL
Other
Enumeration date
03/14/2007
Last updated
07/08/2007
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