Jessica Mehta, D.d.s. P.c.

NPI #1164888236 in Chicago, Illinois

Provider Information

NPI Number: 1164888236
Entity Type: Organization
Organization Name: Jessica Mehta, D.d.s. P.c.
Primary Specialty: Dentist
Enumeration Date: Jan 5, 2016
Last Updated: Jan 5, 2016

Practice Location

Address: 25 E WASHINGTON ST STE 1121
City: Chicago
State: Illinois
ZIP Code: 60602-1713
Phone: (312) 372-3323

Authorized Official

Name: DR. JESSICA MEHTA, D.D.S.
Title: OWNER DENTIST
Phone: (312) 372-3323

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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