S M Bhatt Dds Inc | |
450 S Glendora Ave Suite 106 West Covina CA 91790-3066 | |
(626) 856-3317 | |
(626) 856-5553 |
Full Name | S M Bhatt Dds Inc |
---|---|
Speciality | Dentist |
Location | 450 S Glendora Ave, West Covina, California |
Authorized Official Name and Position | Shaileshkumar M Bhatt (DENTIST) |
Authorized Official Contact | 6268563317 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
S M Bhatt Dds Inc 450 S Glendora Ave Suite 106 West Covina CA 91790-3066 Ph: (626) 856-3317 | S M Bhatt Dds Inc 450 S Glendora Ave Suite 106 West Covina CA 91790-3066 Ph: (626) 856-3317 |
NPI Number | 1720200447 |
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Provider Enumeration Date | 05/03/2007 |
Last Update Date | 06/18/2008 |
Medicare PECOS PAC ID | 8527313139 |
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Medicare Enrollment ID | O20180622001947 |
Identifier | Type | State | Issuer |
---|---|---|---|
1720200447 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 33550 (California) | Primary |
Provider Name | Shaileshkumar M Bhatt |
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Provider Type | Practitioner - Oral Surgery |
Provider Identifiers | NPI Number: 1750487328 PECOS PAC ID: 8022307156 Enrollment ID: I20180622002047 |
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