Individual
DR. JESSICA MEHTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
25 E WASHINGTON ST, SUITE 1121, CHICAGO, IL 60602-1708
(312) 372-3323
Mailing address
25 E WASHINGTON ST, SUITE 1121, CHICAGO, IL 60602-1708
(312) 372-3323
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019.028061
IL
Other
Enumeration date
07/15/2009
Last updated
02/16/2017
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