Organization
SUDHIR K. BHATIA DDS MS LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUDHIR KUMAR BHATIA DDS (PRESIDENT OF CORPORATION)
(630) 725-0947
Entity
Organization
Contact information
Practice address
7451 WOODWARD AVE, SUITE 102, WOODRIDGE, IL 60517-2665
(630) 725-0947
(630) 725-0949
Mailing address
7451 WOODWARD AVE, SUITE 102, WOODRIDGE, IL 60517-2665
(630) 725-0947
(630) 725-0949
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
019015183
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1245316546
—
IL
Enumeration date
01/08/2015
Last updated
01/08/2015
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