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NPI Code Detail

MEDICARE: PALLAVI SARAF, D.M.D., PLLC

MEDICARE: PALLAVI SARAF, D.M.D., PLLC
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
1122300000XDentist
2332BC3200XCustomized Equipment (DME)

General Provider Information

NPI Number : 1417683194
Entity Type Code : Organization
Provider Name (Legal Business Name) : PALLAVI SARAF, D.M.D., PLLC
Provider Business Mailing Address
First Line : 3901 OLEANDER DR STE C
Second Line :
City : WILMINGTON
State : NC
Zip : 28403-6712
Country : US
Telephone Number : 770-815-9941
Fax Number :
Provider Business Practice Location Address
First Line : 3901 OLEANDER DR
Second Line :
City : WILMINGTON
State : NC
Zip : 28403-6733
Country : US
Telephone Number : 770-815-9941
Fax Number :
Authorized Official
Title or Position : MEMBER/OWNER
Name : DR. PALLAVI SARAF
Credential : D.M.D.
Telephone Number : 770-815-9941
Provider Enumeration Date : 07/26/2022
Last Update Date : 01/25/2024

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