Individual
DIVYA BHALLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
2215 2ND ST SW, SUITE 150, ROCHESTER, MN 55902-4147
(507) 281-5987
Mailing address
2215 2ND ST SW, SUITE 150, ROCHESTER, MN 55902-4147
(507) 281-5987
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D13462
MN
Other
Enumeration date
07/16/2014
Last updated
07/16/2014
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