Individual
DR. LALITA BHATTACHARYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
42 PARK PLACE, PAWTUCKET, RI 02860
(401) 729-5239
(401) 729-0438
Mailing address
42 PARK PLACE, PAWTUCKET, RI 02860
(401) 729-0080
(401) 729-0438
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
RI 21-01
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8399-1
BLUE CROSS ID
RI
01
—
LB 57712
MEDICAL ASSISTANCE
RI
01
—
RI 21-01
DELTA DENTAL ID
RI
Enumeration date
03/12/2007
Last updated
08/27/2010
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