Mehtar Dental Corporation
NPI #1316159486 in San Juan Capistrano, California
Provider Information
- NPI Number
- 1316159486
- Entity Type
- Organization
- Organization Name
- Mehtar Dental Corporation
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- May 3, 2007
- Last Updated
- Dec 10, 2012
Practice Location
- Address
- 32281 CAMINO CAPISTRANO
- Address 2
- C-101
- State
- California
- ZIP Code
- 92675-3784
- Phone
- (949) 661-9119
Authorized Official
- Name
- DR. GHASSAN MEHTAR, D.D.S
- Title
- PRESIDENT
- Phone
- (949) 661-9119
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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