MEDICARE: DR. PUKAR BAHADUR RAJBHANDARI D.D.S.

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	1223G0001X	General Practice Dentistry	27213	TX

General Provider Information

NPI Number	:	1205124856
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PUKAR BAHADUR RAJBHANDARI D.D.S.

Provider Business Mailing Address
First Line	:	4103 CHARBRAY CT
Second Line	:
City	:	CEDAR PARK
State	:	TX
Zip	:	78613-7744
Country	:	US
Telephone Number	:	402-321-9054
Fax Number	:

Provider Business Practice Location Address
First Line	:	6421 W 43RD ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77092-4005
Country	:	US
Telephone Number	:	832-941-4010
Fax Number	:	832-941-4011

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

Provider Enumeration Date	:	07/18/2011
Last Update Date	:	11/06/2013

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