| NPI | 1780999789 |
|---|---|
| Former Name | RAJVI JAGATKUMAR MEHTA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MD 14660) |
| Additional Taxonomies | 122300000X Dentist (Licence: MD LL596) |
| Enumeration Date | 2010-08-13 |
| Last Update Date | 2012-10-04 |