Individual
DR. ANJALI SUDERSHAN KRISHAN MEHTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
8001 W NATIONAL AVE, WEST ALLIS, WI 53214-4507
(414) 327-6363
Mailing address
N55W21136 LOGAN DR, MENOMONEE FALLS, WI 53051-6277
(414) 731-7848
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
1001708-15
WI
Other
Enumeration date
10/24/2017
Last updated
01/01/2025
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