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General NPI Number Information
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NPI Number | 1184570210
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Entity Type | Organization
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Legal Business Name | RK DENTAL PC
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Dates
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Enumeration Date | 03/10/2026
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Last Update Date | 03/10/2026
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Provider Practice Location Address
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Address Line | 233 BROAD ST STE 15
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City | BRIDGEWATER
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State | MA
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Zip | 02324-1800
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Country | US
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Telephone | 551-689-7196
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Fax |
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Provider Business Mailing Address
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Address Line | 66 HIGH POINT DR
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City | NORTH GRAFTON
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State | MA
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Zip | 01536-2109
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | KHUSHBU SOPARIWALA
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Credential | DMD
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Telephone | 551-689-7196
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number |
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License Number State |
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