Organization
MEENA H. MEHTA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MEENA H MEHTA DDS (GENERAL DENTIST)
(770) 491-1138
Entity
Organization
Contact information
Practice address
3981 LAWRENCEVILLE HWY STE A, TUCKER, GA 30084-4525
(770) 491-1138
(770) 491-1168
Mailing address
3981 LAWRENCEVILLE HWY STE A, TUCKER, GA 30084-4525
(770) 491-1138
(770) 491-1168
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
10499
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000362964E
—
GA
Enumeration date
05/21/2012
Last updated
05/21/2012
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