Individual
POOJA WALIA BHARDWAJ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
15321 MAIN ST NE STE 321, DUVALL, WA 98019-8574
(425) 318-6073
Mailing address
PO BOX 984, DUVALL, WA 98019-0984
(253) 951-2170
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE60668034
WA
1223G0001X
General Practice Dentistry
RES3481
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
30.024395
OHIO DENTAL BOARD
OH
01
—
DE60668034
DENTAL LICENSE
WA
Enumeration date
09/02/2014
Last updated
03/03/2025
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