Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Mamta Pooran Dalwani

Individual provider General Practice Dentistry · NPI 1124295241

Dr. Mamta Pooran Dalwani is a General Practice Dentistry in Los Angeles, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2008

Practice location Address checks out

12381 Wilshire Blvd Ste 103
Los Angeles, CA 90025-1063
Phone: (310) 207-4617
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 51571 (CA)

Record details

NPI number1124295241
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMay 8, 2008
Last updated in NPPESJanuary 24, 2020
Certification dateJanuary 24, 2020

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