Organization
RITUBAHLDMDPLLC
Active
Other names
UDistrict Smiles
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RITU BAHL DMD (DENTIST/ MANAGER/ MEMBER)
(206) 524-2000
Entity
Organization
Contact information
Practice address
4530 UNION BAY PL NE, SUITE 207, SEATTLE, WA 98105-4000
(206) 524-2000
(206) 400-2717
Mailing address
4530 UNION BAY PL NE, SUITE 207, SEATTLE, WA 98105-4000
(206) 524-2000
(206) 400-2717
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DE00010550
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1104841923
NPI
—
01
—
DE00010550
WASHNGTON STATE DENTAL LICENSE
WA
01
—
DH0460208933
WA DEPARTMENT OF HEALTH
WA
01
—
HL60500250
WA DEPARTMENT OF HEALTH
WA
Enumeration date
08/10/2016
Last updated
08/10/2016
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