Individual
DR. KUNAL BHALLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1 CHARLES ST S, UNIT 504, BOSTON, MA 02116-5447
(917) 574-0508
Mailing address
1 CHARLES ST S, UNIT 504, BOSTON, MA 02116-5447
(917) 574-0508
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
1856422
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/01/2008
Last updated
01/05/2017
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