Individual
ANKITA BHALLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
103B W US HIGHWAY 80, WHITE OAK, TX 75693-2003
(430) 201-2511
Mailing address
1130 E HAWKINS PKWY APT 1102, LONGVIEW, TX 75605-8041
(515) 661-1551
Taxonomy
Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
37205
TX
1223G0001X
General Practice Dentistry
Primary
05315
NH
1223G0001X
General Practice Dentistry
Primary
37205
TX
Other
Enumeration date
02/16/2023
Last updated
04/08/2026
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