Individual
DR. MEENA HARSHAD MEHTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
3981 A LAWRENCEVILLE HWY, TUCKER, GA 30084
(770) 491-1138
(770) 491-1168
Mailing address
2165 MCCURDY RD, STONE MOUNTAIN, GA 30087-1325
(770) 789-5982
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
10499
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000362964L
—
GA
05
—
000362964V
—
GA
Enumeration date
08/04/2006
Last updated
01/29/2019
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