Provider Demographics
NPI:1942323415
Name:MEHTA, LOVELEEN KAUR (DDS)
Entity Type:Individual
Prefix:DR
First Name:LOVELEEN
Middle Name:KAUR
Last Name:MEHTA
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:DR
Other - First Name:LEENA
Other - Middle Name:KAUR
Other - Last Name:BAJWA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DDS
Mailing Address - Street 1:8415 GLAD RIVERS ROW
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:MD
Mailing Address - Zip Code:21045-7424
Mailing Address - Country:US
Mailing Address - Phone:410-872-0537
Mailing Address - Fax:
Practice Address - Street 1:13975 CONNECTICUT AVE
Practice Address - Street 2:SUITE 200
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20906-2921
Practice Address - Country:US
Practice Address - Phone:301-460-1212
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-09
Last Update Date:2009-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD13247122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist