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General NPI Number Information
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NPI Number | 1952533689
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Entity Type | Individual
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Provider Name | KAAJAL MEHRA
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Gender | Female
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Dates
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Enumeration Date | 08/13/2009
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Last Update Date | 03/17/2018
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Provider Practice Location Address
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Address Line | 4323 LEMMON AVE
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City | DALLAS
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State | TX
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Zip | 75219-2706
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Country | US
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Telephone | 214-522-4444
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1168
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City | ANNISTON
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State | AL
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Zip | 36202-1168
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Country | US
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Telephone | 256-741-7340
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 24715
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License Number State | TX
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