Maha Hetata, D.D.S.

General Practice Dentistry · Costa Mesa, CA

Individual Active NPI

NPI number 1154678647

Practice location

267 E 17TH St
Costa Mesa, CA 92627-3831
Phone
(949) 646-2411
Fax
(949) 646-9141

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NPI record

NPI
1154678647
Entity type
Individual (Type 1)
Enumeration date
August 14, 2012
Last updated
August 14, 2012
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 40830 CA

About Dr. Hetata

Maha Hetata, D.D.S. is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 267 E 17TH St, Costa Mesa, CA 92627-3831. The NPI number 1154678647 was assigned on August 14, 2012 and the record was last updated on August 14, 2012.

Dr. Hetata lists a license in the registry: #40830 (CA) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Maha Hetata, D.D.S.?

The NPI number is 1154678647.

What is the phone number of Dr. Hetata?

The phone number listed for the practice location is (949) 646-2411.

Where is Dr. Hetata located?

267 E 17TH St, Costa Mesa, CA 92627-3831.

What is the taxonomy code for Dr. Hetata?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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