Individual
KINJAL J MEHTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
151 JEFFERSON AVE, ELIZABETH, NJ 07201-2490
(908) 409-3094
Mailing address
30G GARDEN TER, NORTH ARLINGTON, NJ 07031-8206
(201) 539-0923
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
22DI02814700
NJ
Other
Enumeration date
10/26/2020
Last updated
10/26/2020
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