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NPI Code Detail

MEDICARE: TARUN AGARWAL DDS PA

MEDICARE: TARUN AGARWAL DDS PA
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
1261QD0000XDental Clinic/Center
2332BX2000XOxygen Equipment & Supplies (DME)
31223G0001XGeneral Practice Dentistry

General Provider Information

NPI Number : 1538361803
Entity Type Code : Organization
Provider Name (Legal Business Name) : TARUN AGARWAL DDS PA
Provider Business Mailing Address
First Line : 8304 CREEDMOOR ROAD
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 ROAD
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 : PRESIDENT
Name : TARUN AGARWAL
Credential : DDS
Telephone Number : 919-870-7645
Provider Enumeration Date : 05/31/2007
Last Update Date : 09/23/2024

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