| Mehtar Dental Corporation | |
|
32281 Camino Capistrano C-101 San Juan Capistrano CA 92675-3784 | |
| (949) 661-9119 | |
| (949) 661-9114 |
| Full Name | Mehtar Dental Corporation |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 32281 Camino Capistrano, San Juan Capistrano, California |
| Authorized Official Name and Position | Ghassan Mehtar (PRESIDENT) |
| Authorized Official Contact | 9496619119 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mehtar Dental Corporation 32281 Camino Capistrano C-101 San Juan Capistrano CA 92675 Ph: (949) 661-9119 | Mehtar Dental Corporation 32281 Camino Capistrano C-101 San Juan Capistrano CA 92675-3784 Ph: (949) 661-9119 |
| NPI Number | 1316159486 |
|---|---|
| Provider Enumeration Date | 05/03/2007 |
| Last Update Date | 12/10/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316159486 | NPI | - | NPPES |
| B-44215-01 | Other | CA | HEALTHY FAMILY |
| G-92741-01 | Other | CA | DENTI-CAL |
| 44215 | Other | CA | DELTA DENTAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 44215 (California) | Primary |
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