Provider Demographics
NPI:1689481541
Name:BHATTI, RIJA TARIQ (DDS)
Entity type:Individual
Prefix:DR
First Name:RIJA TARIQ
Middle Name:
Last Name:BHATTI
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 1:142 WILLIAM STEPHENSON DRIVE
Mailing Address - Street 2:
Mailing Address - City:WHITBY
Mailing Address - State:ONTARIO
Mailing Address - Zip Code:L1N8V3
Mailing Address - Country:CA
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1137 N EOLA RD STE 109
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:IL
Practice Address - Zip Code:60502-7097
Practice Address - Country:US
Practice Address - Phone:630-898-2688
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-12-14
Last Update Date:2025-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL019.0356381223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice