Provider Demographics
NPI:1124767595
Name:BHALALA, PARUL (DMD)
Entity type:Individual
Prefix:
First Name:PARUL
Middle Name:
Last Name:BHALALA
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1003 GRANITE DR
Mailing Address - Street 2:
Mailing Address - City:MC DONALD
Mailing Address - State:PA
Mailing Address - Zip Code:15057-2519
Mailing Address - Country:US
Mailing Address - Phone:412-520-5225
Mailing Address - Fax:
Practice Address - Street 1:6515 ROBINSON CENTER DR
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15205-4868
Practice Address - Country:US
Practice Address - Phone:412-520-5225
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-06-02
Last Update Date:2024-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS044479122300000X
IL019033671122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist