Individual
ANISHA B BHAKTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
7478 EL CENTRO WAY, BUENA PARK, CA 90620-1711
(714) 273-5959
Mailing address
7478 EL CENTRO WAY, BUENA PARK, CA 90620-1711
(714) 273-5959
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
40859
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/11/2023
Last updated
09/13/2024
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