Organization
JIMMY K BHATT, DDS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JIMMY K BHATT DDS (CEO)
(909) 984-7883
Entity
Organization
Contact information
Practice address
941 W MISSION BLVD STE H, ONTARIO, CA 91762-6890
(909) 984-7883
(909) 984-3463
Mailing address
1126 E COMMONWEALTH AVE, FULLERTON, CA 92831-4616
(714) 862-8303
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
101616
CA
Other
Enumeration date
04/03/2018
Last updated
04/03/2018
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