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Organization

J BHAHEETHARAN DENTAL CORP

Active
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Organization

J BHAHEETHARAN DENTAL CORP

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JEYANTHI BHAHEETHARAN D.D.S. (PRESIDENT)
(424) 757-4149
Entity
Organization

Contact information

Practice address
6131 ORANGETHORPE AVE STE 405, BUENA PARK, CA 90620-4902
(714) 786-6965
Mailing address
955 DEEP VALLEY DR UNIT 3417, PALOS VERDES PENINSULA, CA 90274-3102
(424) 757-4149

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—

Other

Enumeration date
09/07/2020
Last updated
09/07/2020
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