Individual
DEEPAK MEHTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
3 KELLY DRIVER RD, LAUREL SPRINGS, NJ 08021-4823
(856) 784-5100
Mailing address
3 KELLY DRIVER RD, LAUREL SPRINGS, NJ 08021-4823
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
22DI02571600
NJ
122300000X
Dentist
DS039980
PA
Other
Enumeration date
06/23/2014
Last updated
06/23/2014
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