# POOJA WALIA BHARDWAJ

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1770983306
- **Gender:** F

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | DE60668034 | WA | Yes |
| 1223G0001X | General Practice Dentistry | RES3481 | OH | — |

## Other

- **Enumeration date:** 09/02/2014
- **Last updated:** 03/03/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 30.024395 | OHIO DENTAL BOARD | OH |
| 01 | — | DE60668034 | DENTAL LICENSE | WA |