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NPI Code Detail

MEDICARE: DR. TARUN AGARWAL DDS

MEDICARE: DR. TARUN AGARWAL 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
1122300000XDentist6949NC

General Provider Information

NPI Number : 1215097183
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. TARUN AGARWAL DDS
Provider Business Mailing Address
First Line : 8304 CREEDMOOR RD
Second Line :
City : RALEIGH
State : NC
Zip : 27613-1697
Country : US
Telephone Number : 919-870-7645
Fax Number : 919-870-8931
Provider Business Practice Location Address
First Line : 8304 CREEDMOOR RD
Second Line :
City : RALEIGH
State : NC
Zip : 27613-1697
Country : US
Telephone Number : 919-870-7645
Fax Number : 919-870-8931
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/11/2006
Last Update Date : 07/12/2012

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