Healthcare Provider Details

I. General information

NPI: 1063205706
Provider Name (Legal Business Name): SMILES BY RITU INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/26/2025
Last Update Date: 08/11/2025
Certification Date: 08/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

631 E ALVIN DR STE J2
SALINAS CA
93906-3056
US

IV. Provider business mailing address

620 E ALVIN DR STE E
SALINAS CA
93906-3054
US

V. Phone/Fax

Practice location:
  • Phone: 858-761-1223
  • Fax:
Mailing address:
  • Phone: 858-761-1223
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QD0000X
TaxonomyDental Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: RITU BHARDWAJ
Title or Position: DENTIST
Credential: DDS
Phone: 858-761-1223