| Jethwani Dental Corp | |
|
6648 Irvine Center Dr Irvine CA 92618-2117 | |
| (949) 237-2872 | |
| Not Available |
| Full Name | Jethwani Dental Corp |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 6648 Irvine Center Dr, Irvine, California |
| Authorized Official Name and Position | Mita Jethwani (PRESIDENT) |
| Authorized Official Contact | 9492372872 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jethwani Dental Corp 1732 Aviation Blvd Ste 514 Redondo Beach CA 90278-2810 Ph: (310) 741-7953 | Jethwani Dental Corp 6648 Irvine Center Dr Irvine CA 92618-2117 Ph: (949) 237-2872 |
| NPI Number | 1043887912 |
|---|---|
| Provider Enumeration Date | 06/08/2021 |
| Last Update Date | 06/08/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043887912 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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