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MANTENA AND GHAZAL DENTAL CORPORATION NPI 1043589294


NPI Information

NPI: 1043589294
Provider Name: MANTENA AND GHAZAL DENTAL CORPORATION

Doing Business As: NUT TREE SMILES DENTISTRY AND ORTHODONTICS DENTAL GROUP

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
110 NUT TREE PARKWAY
VACAVILLE, CA
ZIP 95687
Phone: (707) 451-8390
Get Directions

MANTENA AND GHAZAL DENTAL CORPORATION is a general practice dentist in Vacaville, CA. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. MANTENA AND GHAZAL DENTAL CORPORATION NPI is 1043589294. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Nut Tree Smiles Dentistry And Orthodontics Dental Group.

The provider's business location address is:

110 NUT TREE PARKWAY
VACAVILLE, CA
ZIP 95687
Phone: (707) 451-8390
Fax: (707) 451-8579

The provider's authorized official is Usha Mantena .
The authorized official title is Owner Doctor and has the following contact phone number (707) 451-8390.

The enumeration date for this NPI number is 12/16/2011 and was last updated on 11/12/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223G0001XDentistGeneral PracticeYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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