Individual
DR. DEVIKA BHOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
519 8TH AVE, NEW YORK, NY 10018-6506
(212) 967-2402
Mailing address
1 RIVER CT, # 3305, JERSEY CITY, NJ 07310-2001
(646) 479-2100
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
052550
NY
122300000X
Dentist
DI 023103
NJ
Other
Enumeration date
08/08/2006
Last updated
07/08/2007
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