Provider Demographics
NPI:1689671547
Name:BHOOT, NAINA (DDS)
Entity Type:Individual
Prefix:DR
First Name:NAINA
Middle Name:
Last Name:BHOOT
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 1:2520 HONOLULU AVE
Mailing Address - Street 2:#160
Mailing Address - City:MONTROSE
Mailing Address - State:CA
Mailing Address - Zip Code:91020-1853
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2520 HONOLULU AVE
Practice Address - Street 2:#160
Practice Address - City:MONTROSE
Practice Address - State:CA
Practice Address - Zip Code:91020-1853
Practice Address - Country:US
Practice Address - Phone:818-248-0088
Practice Address - Fax:818-475-5876
Is Sole Proprietor?:No
Enumeration Date:2005-07-06
Last Update Date:2013-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA483251223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice