Individual
DHAVAL TUSHAR MEHTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
17 S. 60TH ST. 2ND FLR., PHILADELPHIA, PA 19139
(215) 472-4500
(215) 472-4009
Mailing address
121 FARM VIEW DR, OXFORD, PA 19363-2445
(610) 998-9540
(215) 472-4009
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS029462L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0015608700003
—
PA
Enumeration date
12/02/2006
Last updated
07/08/2007
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