Individual
LAVENDERJIT K MEHAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
941 GATEWAY COMMONS CIR STE 109, WAKE FOREST, NC 27587-6604
(919) 694-3148
Mailing address
10 FENTON MAIN ST APT 459, CARY, NC 27511-7801
(210) 784-7750
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
13640
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
TX
Other
Enumeration date
03/06/2023
Last updated
08/13/2024
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