Individual
DR. ANISHWAR ROHANLAL BHAGWANDASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
50 ANNA LOUISE LN, ROANOKE RAPIDS, NC 27870-8648
(252) 537-4141
(252) 537-7520
Mailing address
101 MAYFLOWER CT, ROANOKE RAPIDS, NC 27870-2243
(252) 537-4141
(252) 537-7520
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5794
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8990719
—
NC
Enumeration date
09/21/2006
Last updated
07/08/2007
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