Individual
MANU BHARTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4824 MCMAHON BLVD NW, # 119, ALBUQUERQUE, NM 87114-5412
(310) 259-3745
Mailing address
4824 MCMAHON BLVD NW, # 119, ALBUQUERQUE, NM 87114-5412
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
15572
MD
Other
Enumeration date
05/14/2014
Last updated
02/07/2016
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