Organization
ASHOKKUMAR S. MEHTA D.D.S, INC
Active
Parent organization
ASHOKKUMAR S. MEHTA D.D.S., INC
Other names
Mehta Dental Group
Organization subpart
Yes
Provider details
NPI number
Legal business name
ASHOKKUMAR S. MEHTA D.D.S., INC
Authorized official
MR. ASHOKKUMAR SHANTILAL MEHTA D.D.S (D.D.S/OWNER)
(714) 928-4299
Entity
Organization
Contact information
Practice address
330 N STATE COLLEGE BLVD, 105, ANAHEIM, CA 92806
(714) 772-5005
Mailing address
330 N STATE COLLEGE BLVD, 105, ANAHEIM, CA 92806
(714) 772-5005
(714) 772-6942
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
—
—
Other
Enumeration date
11/23/2021
Last updated
05/17/2022
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