Individual
BHARANI KUMAR BHATTU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
510 E LISA DR, CHAPARRAL, NM 88081-7809
(575) 824-0128
(575) 824-0179
Mailing address
385 CALLE DE ALEGRA, BLDG. A, LAS CRUCES, NM 88005-3423
(575) 526-1105
(575) 524-4266
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
28180
TX
Other
Enumeration date
07/11/2012
Last updated
09/27/2016
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