Individual
DR. ISHITA BHALLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BDS
Contact information
Practice address
2101 NE 129TH ST STE 101, VANCOUVER, WA 98686-3267
(360) 574-4574
Mailing address
2101 NE 129TH ST STE 101, VANCOUVER, WA 98686-3267
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DE61190078
WA
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/23/2023
Last updated
01/29/2026
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