Individual
MS. MAHASTY MAHOOTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
57 VIA PAUSA, RANCHO SANTA MARGARITA, CA 92688-4905
(949) 291-7078
Mailing address
57 VIA PAUSA, RANCHO SANTA MARGARITA, CA 92688-4905
(949) 291-7078
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
23000
CA
Other
Enumeration date
03/17/2011
Last updated
03/17/2011
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