MEDICARE: DR. REEMA RAWAL 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	0401417984	VA

General Provider Information

NPI Number	:	1265166383
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. REEMA RAWAL DDS

Provider Business Mailing Address
First Line	:	4680 MONTICELLO AVE STE 16A
Second Line	:
City	:	WILLIAMSBURG
State	:	VA
Zip	:	23188-8214
Country	:	US
Telephone Number	:	757-258-1042
Fax Number	:

Provider Business Practice Location Address
First Line	:	4680 MONTICELLO AVE STE 16A
Second Line	:
City	:	WILLIAMSBURG
State	:	VA
Zip	:	23188-8214
Country	:	US
Telephone Number	:	757-258-1042
Fax Number	:

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

Provider Enumeration Date	:	07/14/2022
Last Update Date	:	07/14/2022

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Directions to “ DR. REEMA RAWAL DDS” Practice Location

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