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NPI Code Detail

MEDICARE: AKASHDEEP KAUR MAHAL

MEDICARE: AKASHDEEP KAUR MAHAL
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
1122300000XDentistDS044792PA

General Provider Information

NPI Number : 1982441176
Entity Type Code : Individual
Provider Name (Legal Business Name) : AKASHDEEP KAUR MAHAL
Provider Business Mailing Address
First Line : 1200 SUMMIT WAY
Second Line :
City : MECHANICSBURG
State : PA
Zip : 17050-2680
Country : US
Telephone Number : 717-759-1104
Fax Number :
Provider Business Practice Location Address
First Line : 4004 TRINDLE RD
Second Line :
City : CAMP HILL
State : PA
Zip : 17011-4242
Country : US
Telephone Number : 717-737-5120
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/15/2024
Last Update Date : 07/15/2024

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Directions to “ AKASHDEEP KAUR MAHAL ” Practice Location

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