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Organization
JAY I. BHATT DDS A PROFESSIONAL CORPORATION
Active
Organization
JAY I. BHATT DDS A PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAYANT I BHATT DDS (PRESIDENT)
(909) 896-2957
Entity
Organization
Contact information
Practice address
1401 AVOCADO AVE STE 309, NEWPORT BEACH, CA 92660-8733
(949) 759-7007
(949) 644-0446
Mailing address
1401 AVOCADO AVE STE 309, NEWPORT BEACH, CA 92660-8733
(949) 759-7007
(949) 644-0446
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
—
—
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
33064
DENTIST
CA
Enumeration date
07/25/2022
Last updated
07/25/2022
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