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NPI Code Detail

MEDICARE: DR. HAROON RANDHAWA DDS

MEDICARE:  DR. HAROON  RANDHAWA  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
1122300000XDentist019026029IL
2122300000XDentist35016TX

General Provider Information

NPI Number : 1134246663
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. HAROON RANDHAWA DDS
Provider Business Mailing Address
First Line : 1494 WILLINGHAM DR
Second Line :
City : ALLEN
State : TX
Zip : 75013-5809
Country : US
Telephone Number : 217-801-2556
Fax Number :
Provider Business Practice Location Address
First Line : 2091 N COLLINS BLVD # 100
Second Line :
City : RICHARDSON
State : TX
Zip : 75080-2636
Country : US
Telephone Number : 972-644-3800
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/22/2007
Last Update Date : 10/13/2022

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Directions to “ DR. HAROON RANDHAWA DDS” Practice Location

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