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Organization
SUDHIR K. BHATIA DDS MS LTD
Active
Organization
SUDHIR K. BHATIA DDS MS LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUDHIR KUMAR BHATIA DDS (PRESIDENT OF CORPORATION)
(630) 725-0947
Entity
Organization
Contact information
Practice address
7451 WOODWARD AVE, SUITE 102, WOODRIDGE, IL 60517-2665
(630) 725-0947
(630) 725-0949
Mailing address
7451 WOODWARD AVE, SUITE 102, WOODRIDGE, IL 60517-2665
(630) 725-0947
(630) 725-0949
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
019015183
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1245316546
—
IL
Enumeration date
01/08/2015
Last updated
01/08/2015
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