Individual
ISHANI MEHTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
392 WASHINGTON AVE, BELLEVILLE, NJ 07109
(973) 759-4115
Mailing address
392 WASHINGTON AVE, BELLEVILLE, NJ 07109-3251
(973) 759-4115
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
22DI02716000
NJ
Other
Enumeration date
06/11/2018
Last updated
08/24/2022
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