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NPI Code Detail

MEDICARE: DR. MANPREET S DEV DDS

MEDICARE: DR. MANPREET S DEV 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
11223G0001XGeneral Practice Dentistry104985CA

General Provider Information

NPI Number : 1669099842
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MANPREET S DEV DDS
Provider Business Mailing Address
First Line : 26630 BARTON RD
Second Line :
City : REDLANDS
State : CA
Zip : 92373-4323
Country : US
Telephone Number : 916-472-9092
Fax Number :
Provider Business Practice Location Address
First Line : 1052 LIVE OAK BLVD
Second Line :
City : YUBA CITY
State : CA
Zip : 95991-3416
Country : US
Telephone Number : 530-671-4784
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/03/2020
Last Update Date : 12/26/2020

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