Individual
DR. PRIYANKA KEITH MEHTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S
Contact information
Practice address
5 N ROOT ST, SUITE #105, AURORA, IL 60505-3429
(630) 800-1137
Mailing address
2167 WILDWOOD CT, HANOVER PARK, IL 60133-6770
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019.029611
IL
Other
Enumeration date
07/05/2013
Last updated
05/14/2014
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