| NPI | 1700912599 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAHENDRAKUMAR V MEHTA Owner 909-596-7700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 28597) |
| Enumeration Date | 2007-02-26 |
| Last Update Date | 2021-05-25 |