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General NPI Number Information
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NPI Number | 1053076703
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Entity Type | Individual
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Provider Name | SMRITI BHATIA BDS
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Gender | Female
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Dates
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Enumeration Date | 11/07/2021
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Last Update Date | 04/12/2025
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Provider Practice Location Address
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Address Line | 400 NEWPORT CENTER DR STE 205
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City | NEWPORT BEACH
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State | CA
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Zip | 92660-7659
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Country | US
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Telephone | 949-644-0032
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Fax |
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Provider Business Mailing Address
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Address Line | 6987 SEISER CT
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City | RIVERSIDE
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State | CA
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Zip | 92506-4935
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Country | US
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Telephone | 510-600-7920
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0300X
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Taxonomy Name | Periodontics
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License Number | DDS111178
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 1223P0300X
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Taxonomy Name | Periodontics
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License Number | DE61231043
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License Number State | WA
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