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NPI Code Detail

MEDICARE: MAHENDRAKUMAR MEHTA DDS INC

MEDICARE: MAHENDRAKUMAR MEHTA DDS INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice Dentistry28597CA

General Provider Information

NPI Number : 1700912599
Entity Type Code : Organization
Provider Name (Legal Business Name) : MAHENDRAKUMAR MEHTA DDS INC
Provider Business Mailing Address
First Line : 4576 WHITTIER BLVD
Second Line :
City : LOS ANGELES
State : CA
Zip : 90022-2430
Country : US
Telephone Number : 323-261-0369
Fax Number :
Provider Business Practice Location Address
First Line : 4576 WHITTIER BLVD
Second Line :
City : LOS ANGELES
State : CA
Zip : 90022-2430
Country : US
Telephone Number : 323-261-0369
Fax Number : 323-269-1920
Authorized Official
Title or Position : OWNER
Name : DR. MAHENDRAKUMAR V MEHTA
Credential : BDS
Telephone Number : 909-596-7700
Provider Enumeration Date : 02/26/2007
Last Update Date : 05/25/2021

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Directions to “MAHENDRAKUMAR MEHTA DDS INC ” Practice Location

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