J Bhaheetharan Dental Corp

NPI #1063026078 in Buena Park, California

Provider Information

NPI Number
1063026078
Entity Type
Organization
Organization Name
J Bhaheetharan Dental Corp
Primary Specialty
Dentist - General Practice
Enumeration Date
Sep 7, 2020
Last Updated
Sep 7, 2020

Practice Location

Address
6131 ORANGETHORPE AVE STE 405
ZIP Code
90620-4902
Phone
(714) 786-6965

Authorized Official

Name
JEYANTHI BHAHEETHARAN, D.D.S.
Title
PRESIDENT
Phone
(424) 757-4149

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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