Individual
KRISHNA SIDDHARTH MEHTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
230 RHODE ISLAND AVE, FALL RIVER, MA 02724-3525
(508) 646-9600
Mailing address
180 PARK ST UNIT 21, NORTH ATTLEBORO, MA 02760-1266
(224) 656-0567
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DEN03610
RI
122300000X
Dentist
Primary
DN1859472
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/03/2022
Last updated
10/17/2022
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