Individual
DR. CHETAN KUMAR MEHTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D., M.S.D.
Contact information
Practice address
13372 NEWPORT AVE, SUITE C, TUSTIN, CA 92780-3426
(714) 838-1238
(714) 838-9586
Mailing address
5 VILLAGER, IRVINE, CA 92602-2459
(714) 389-1919
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
D49597
CA
Other
Enumeration date
06/30/2006
Last updated
07/08/2007
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