Organization
A.R.BHAGWANDASS.DMD.PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANISHWAR R BHAGWANDASS DMD (PRESIDENT)
(252) 537-4141
Entity
Organization
Contact information
Practice address
50 ANNA LOUISE LN, ROANOKE RAPIDS, NC 27870-8648
(252) 537-4141
Mailing address
50 ANNA LOUISE LN, ROANOKE RAPIDS, NC 27870-8648
(252) 537-4141
(252) 537-7520
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
5794
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8990719
—
NC
Enumeration date
09/21/2007
Last updated
09/21/2007
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