Provider Demographics
NPI:1760637425
Name:BHANDARI, REENA (DDS)
Entity Type:Individual
Prefix:DR
First Name:REENA
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 1:180 W MARKET ST
Mailing Address - Street 2:APT 1102
Mailing Address - City:NEWARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07103-2765
Mailing Address - Country:US
Mailing Address - Phone:240-603-2061
Mailing Address - Fax:
Practice Address - Street 1:180 W MARKET ST
Practice Address - Street 2:APT 1102
Practice Address - City:NEWARK
Practice Address - State:NJ
Practice Address - Zip Code:07103-2765
Practice Address - Country:US
Practice Address - Phone:240-603-2061
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-22
Last Update Date:2008-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program