MEDICARE: RAPINDER MOMI DDS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	DE61119100	WA

General Provider Information

NPI Number	:	1356959357
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RAPINDER MOMI DDS

Provider Business Mailing Address
First Line	:	3909 185TH PL SW
Second Line	:
City	:	LYNNWOOD
State	:	WA
Zip	:	98037-3813
Country	:	US
Telephone Number	:	425-345-6807
Fax Number	:

Provider Business Practice Location Address
First Line	:	520 N OLYMPIC AVE
Second Line	:
City	:	ARLINGTON
State	:	WA
Zip	:	98223-1247
Country	:	US
Telephone Number	:	360-435-4043
Fax Number	:	360-435-2344

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/16/2020
Last Update Date	:	03/07/2023

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Directions to “ RAPINDER MOMI DDS” Practice Location

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