MEDICARE: DR. KARAN PARTAP DHILLON 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
1	122300000X	Dentist	DDS103702	CA

General Provider Information

NPI Number	:	1063070217
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KARAN PARTAP DHILLON DDS

Provider Business Mailing Address
First Line	:	423 N L ST
Second Line	:
City	:	LIVERMORE
State	:	CA
Zip	:	94551-8005
Country	:	US
Telephone Number	:	925-321-9906
Fax Number	:

Provider Business Practice Location Address
First Line	:	423 N L ST
Second Line	:
City	:	LIVERMORE
State	:	CA
Zip	:	94551-8005
Country	:	US
Telephone Number	:	925-321-9906
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/03/2019
Last Update Date	:	06/03/2019

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Directions to “ DR. KARAN PARTAP DHILLON DDS” Practice Location

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