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NPI Code Detail

MEDICARE: DR. SAMIR RIZVANBEGOVIC DDS

MEDICARE:  DR. SAMIR  RIZVANBEGOVIC  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
11223G0001XGeneral Practice Dentistry47167CA

General Provider Information

NPI Number : 1366609034
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SAMIR RIZVANBEGOVIC DDS
Provider Business Mailing Address
First Line : 44421 TOWN CENTER WAY STE C
Second Line :
City : PALM DESERT
State : CA
Zip : 92260-2705
Country : US
Telephone Number : 760-776-1646
Fax Number : 760-776-1645
Provider Business Practice Location Address
First Line : 44421 TOWN CENTER WAY STE C
Second Line :
City : PALM DESERT
State : CA
Zip : 92260-2705
Country : US
Telephone Number : 760-776-1646
Fax Number : 760-776-1645
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/20/2008
Last Update Date : 05/20/2008

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Directions to “ DR. SAMIR RIZVANBEGOVIC DDS” Practice Location

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