Individual
SHENAZ ROHINTON BHATHENA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
1602 FORDEM AVE APT 114, MADISON, WI 53704-4637
(608) 421-3142
Mailing address
1602 FORDEM AVE APT 114, MADISON, WI 53704-4637
(608) 421-3142
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
019034287
IL
1223G0001X
General Practice Dentistry
Primary
6001214-15
WI
Other
Enumeration date
05/31/2023
Last updated
10/22/2023
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