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Individual

DR. SIDDARTH MEHTA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
3 SW 129TH AVE STE 205, PEMBROKE PINES, FL 33027-1779
(561) 740-3646
Mailing address
405 NE 2ND ST APT 2111, FT LAUDERDALE, FL 33301-2865
(574) 386-1989

Taxonomy

Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
DN25437
FL

Other

Enumeration date
01/07/2021
Last updated
03/10/2024
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