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NPI Code Detail

MEDICARE: DR. RAHUL GANPATRAO SALUNKE DDS

MEDICARE: DR. RAHUL GANPATRAO SALUNKE 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
1122300000XDentistDEN.00204622CO
2122300000XDentist109806CA

General Provider Information

NPI Number : 1881284339
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. RAHUL GANPATRAO SALUNKE DDS
Provider Business Mailing Address
First Line : 305 E CENTER AVE
Second Line :
City : VISALIA
State : CA
Zip : 93291-6331
Country : US
Telephone Number : 877-960-3426
Fax Number :
Provider Business Practice Location Address
First Line : 201 E LAKEVIEW AVE
Second Line :
City : WOODLAKE
State : CA
Zip : 93286-1301
Country : US
Telephone Number : 877-960-3426
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/19/2021
Last Update Date : 02/16/2024

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