Organization
DRS MEHTADENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PRAVEEN MEHTA (CO OWNER)
(718) 759-9669
Entity
Organization
Contact information
Practice address
7420 6TH AVE, BROOKLYN, NY 11209-3314
(718) 759-9669
Mailing address
7420 6TH AVE, BROOKLYN, NY 11209-3314
(718) 759-9669
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
08/06/2020
Last updated
08/06/2020
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