Individual
DR. MANISHA BHALLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
300 HEMINGWAY AVE, EAST HAVEN, CT 06512-3000
(203) 469-5644
(203) 469-1067
Mailing address
46 FOX ST STE 2, POUGHKEEPSIE, NY 12601-4726
(845) 471-4383
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
010441
CT
Other
Enumeration date
07/12/2010
Last updated
06/04/2017
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