| NPI | 1932866183 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHOKKUMAR SHANTILAL MEHTA D.D.S/Owner 714-928-4299 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist General Practice |
| Additional Taxonomies | 1223S0112X Dentist Oral and Maxillofacial Surgery |
| Enumeration Date | 2021-11-23 |
| Last Update Date | 2022-05-17 |