Individual
POONUM BHARAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6510 HARBOUR VIEW CT, MIDLOTHIAN, VA 23112-6559
(804) 739-6500
Mailing address
6510 HARBOUR VIEW CT, MIDLOTHIAN, VA 23112-6559
(804) 739-6500
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401412852
VA
Other
Enumeration date
02/05/2014
Last updated
02/05/2014
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