MAHA HETATA

COSTA MESA, CA
NPI1154678647
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: CA  40830)
Enumeration Date2012-08-14
Last Update Date2012-08-14
Business Address
-- MAHA HETATA D.D.S.
267 E 17TH ST
COSTA MESA, CA 92627-3831
Phone number: 949-646-2411
Mailing Address
-- MAHA HETATA D.D.S.
267 E 17TH ST
COSTA MESA, CA 92627-3831
Phone number: 949-646-2411