Individual
SELINA MAHESRI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1041 E YORBA LINDA BLVD, PLACENTIA, CA 92870-3728
(714) 528-8252
Mailing address
15076 AVENIDA DE LAS FLORES, CHINO HILLS, CA 91709-5014
(510) 305-6240
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
107189
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/04/2020
Last updated
11/08/2022
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