Provider Demographics
NPI:1558592022
Name:BHANDARI, ARTI (DDS)
Entity Type:Individual
Prefix:
First Name:ARTI
Middle Name:
Last Name:BHANDARI
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2090 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:SANTA CLARA
Mailing Address - State:CA
Mailing Address - Zip Code:95050-3851
Mailing Address - Country:US
Mailing Address - Phone:323-327-5984
Mailing Address - Fax:
Practice Address - Street 1:2090 MAIN ST
Practice Address - Street 2:
Practice Address - City:SANTA CLARA
Practice Address - State:CA
Practice Address - Zip Code:95050-3851
Practice Address - Country:US
Practice Address - Phone:323-327-5984
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-08-01
Last Update Date:2009-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA58319122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist