Individual
SHRUTI BAJAJ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
5240 114TH ST APT 502, LUBBOCK, TX 79424-6483
(954) 702-3751
Mailing address
5240 114TH ST APT 502, LUBBOCK, TX 79424-6483
(954) 702-3751
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
36978
TX
Other
Enumeration date
01/19/2021
Last updated
01/19/2021
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