Individual
DR. MANOJ K BAHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
40 W 73RD AVE, MERRILLVILLE, IN 46410-3979
(219) 769-3305
(219) 769-4674
Mailing address
40 W 73RD AVE, MERRILLVILLE, IN 46410-3979
(219) 769-3055
(219) 769-4674
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
50052656
NY
1223G0001X
General Practice Dentistry
019028218
IL
1223G0001X
General Practice Dentistry
Primary
12011727A
IN
Other
Enumeration date
03/30/2007
Last updated
01/21/2021
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