Individual
DR. ISHWAR K BHATIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BDS, MDS
Contact information
Practice address
100 E NEWTON ST, G425, BOSTON, MA 02118-2308
(617) 638-4463
(617) 638-4359
Mailing address
100 E NEWTON ST, BOSTON, MA 02118-2308
(617) 638-4463
(617) 638-4359
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
9988
MA
Other
Enumeration date
07/03/2008
Last updated
07/03/2008
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