Individual
SHIVALI BHATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
520 N 12TH ST, RICHMOND, VA 23298-5064
(804) 828-9190
Mailing address
30 SALT BUSH, IRVINE, CA 92603-0417
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0442000502
VA
122300000X
Dentist
106648
CA
Other
Enumeration date
07/26/2021
Last updated
08/02/2023
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