MEDICARE: DULCE DENTAL AND ORTHODONTICS PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	122300000X	Dentist
2	261QD0000X	Dental Clinic/Center
3	1223G0001X	General Practice Dentistry

General Provider Information

NPI Number	:	1558012492
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DULCE DENTAL AND ORTHODONTICS PLLC

Provider Business Mailing Address
First Line	:	3225 FORT WORTH AVE STE 100
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75211-2445
Country	:	US
Telephone Number	:	214-337-0153
Fax Number	:	214-337-0222

Provider Business Practice Location Address
First Line	:	3225 FORT WORTH AVE STE 100
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75211-2445
Country	:	US
Telephone Number	:	214-337-0153
Fax Number	:	214-337-0222

Authorized Official
Title or Position	:	OWNER
Name	:	DR. RAHUL R JOSHI
Credential	:	DDS
Telephone Number	:	480-747-5129

Provider Enumeration Date	:	01/12/2022
Last Update Date	:	07/12/2022

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