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1154678647
MAHA HETATA
COSTA MESA, CA
NPI
1154678647
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: CA 40830)
Enumeration Date
2012-08-14
Last Update Date
2012-08-14
Business Address
-- MAHA HETATA D.D.S.
267 E 17TH ST
COSTA MESA, CA 92627-3831
Phone number: 949-646-2411
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Mailing Address
-- MAHA HETATA D.D.S.
267 E 17TH ST
COSTA MESA, CA 92627-3831
Phone number: 949-646-2411
Copy
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