Individual
DR. ISHWARANAND G BHAT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
300 S STATE RD, MARYSVILLE, PA 17053-1221
(717) 957-3711
(717) 957-4583
Mailing address
300 S STATE RD, MARYSVILLE, PA 17053-1221
(717) 957-3711
(717) 957-4583
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS020219-L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0005161980001
—
PA
Enumeration date
01/23/2007
Last updated
07/08/2007
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