Provider Demographics
NPI:1174112288
Name:BHULA, AVNI (DDS)
Entity type:Individual
Prefix:DR
First Name:AVNI
Middle Name:
Last Name:BHULA
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
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Mailing Address - Street 1:PO BOX 100414
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32610-0414
Mailing Address - Country:US
Mailing Address - Phone:352-273-6695
Mailing Address - Fax:352-294-5310
Practice Address - Street 1:1600 SW ARCHER RD
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32610-2032
Practice Address - Country:US
Practice Address - Phone:352-273-6695
Practice Address - Fax:352-294-5310
Is Sole Proprietor?:No
Enumeration Date:2021-01-13
Last Update Date:2023-11-01
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLDTP8001223X0008X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0008XDental ProvidersDentistOral and Maxillofacial Radiology