| NPI | 1003941881 |
|---|---|
| Doing Business As | DR. MEHTA'S GROVE DENTAL OFFICE |
| Entity Type | Organization |
| Authorized Contact | MAHENDRAKUMAR MEHTA Owner 909-596-7700 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Additional Taxonomies | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: CA 29373) |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2020-10-28 |