Individual
DR. SUJATA M BHAKTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
625 E LIBERTY ST SUITE #203, ANN ARBOR, MI 48104
(734) 332-0151
Mailing address
606 W STADIUM BLVD, ANN ARBOR, MI 48103-6963
(734) 332-0151
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901017772
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
744744727
—
MI
05
—
744827294
—
MI
Enumeration date
11/03/2006
Last updated
08/03/2023
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