Individual
DR. SRIJAN MEHTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D
Contact information
Practice address
698 CRESCENT STREET, BROCKTON, MA 02302
(508) 583-2256
Mailing address
401 MOUNT VERNON ST, APT # 726, DORCHESTER, MA 02125-3138
(405) 250-1967
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
21988
MA
Other
Enumeration date
09/04/2007
Last updated
09/04/2007
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