Individual
MR. CHANDRAKANT K MEHTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2435 GLENWOOD AVE, JOLIET, IL 60435-5461
(815) 725-0260
(815) 725-0260
Mailing address
2435 GLENWOOD AVE, JOLIET, IL 60435-5461
(815) 725-0260
(815) 725-0260
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1005424
—
IL
Enumeration date
10/23/2006
Last updated
07/08/2007
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