Organization
MANHARLAL M. MISTRY, DDS. INC
Active
Other names
Westport Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MANHAR MISTRY DDS (PRESIDENT)
(714) 606-4908
Entity
Organization
Contact information
Practice address
420 S STATE COLLEGE BLVD, ANAHEIM, CA 92806-4119
(714) 772-0770
(714) 772-7054
Mailing address
420 S STATE COLLEGE BLVD, ANAHEIM, CA 92806-4119
(714) 772-0770
(714) 772-7054
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
28045
CA
Other
Enumeration date
12/29/2014
Last updated
12/29/2014
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