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General NPI Number Information
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NPI Number | 1699256149
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Entity Type | Organization
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Legal Business Name | RAINA DENTAL CARE PC
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Dates
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Enumeration Date | 08/23/2018
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Last Update Date | 11/18/2024
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Provider Practice Location Address
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Address Line | 2323 NAPERVILLE RD. SUITE 110
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City | NAPERVILLE
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State | IL
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Zip | 60563
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Country | US
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Telephone | 630-381-4021
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Fax |
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Provider Business Mailing Address
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Address Line | 2323 NAPERVILLE RD. SUITE 110
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City | NAPERVILLE
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State | IL
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Zip | 60563
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Country | US
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Telephone | 630-381-4021
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Fax |
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Authorized Official
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Title or Position | GENERAL DENTIST
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Name | DR. MANDEEP KAUR RAINA
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Credential | DDS
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Telephone | 630-381-4021
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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 | 019026208
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License Number State | IL
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