Provider Demographics
NPI:1073611349
Name:BHARDWAJ, LALIT K (DDS)
Entity Type:Individual
Prefix:DR
First Name:LALIT
Middle Name:K
Last Name:BHARDWAJ
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:330 S ZANG BLVD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75208-6622
Mailing Address - Country:US
Mailing Address - Phone:214-941-9400
Mailing Address - Fax:214-941-9404
Practice Address - Street 1:330 S ZANG BLVD
Practice Address - Street 2:SUITE 100
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75208-6622
Practice Address - Country:US
Practice Address - Phone:214-941-9400
Practice Address - Fax:214-941-9404
Is Sole Proprietor?:No
Enumeration Date:2006-09-20
Last Update Date:2014-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX223391223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice