| NPI | 1922192707 |
|---|---|
| Doing Business As | WILDWOOD DENTAL GROUP |
| Entity Type | Organization |
| Authorized Contact | MAHENDRA KUMAR V. MEHTA Owner Dds 909-886-4864 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2009-06-03 |