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NPI Code Detail

MEDICARE: SARANYA VARUN BDS, MDS

MEDICARE: SARANYA VARUN BDS, MDS
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
1122300000XDentistR637MN
2122300000XDentistS201MN
31223X2210XOrofacial Pain DentistryS201MN

General Provider Information

NPI Number : 1588033252
Entity Type Code : Individual
Provider Name (Legal Business Name) : SARANYA VARUN BDS, MDS
Provider Business Mailing Address
First Line : 3475 PLYMOUTH BLVD STE 200
Second Line :
City : PLYMOUTH
State : MN
Zip : 55447-1539
Country : US
Telephone Number : 763-577-2484
Fax Number : 763-577-1375
Provider Business Practice Location Address
First Line : 675 E NICOLLET BLVD STE 255
Second Line :
City : BURNSVILLE
State : MN
Zip : 55337-6768
Country : US
Telephone Number : 952-892-6222
Fax Number : 952-892-6477
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/23/2015
Last Update Date : 05/09/2023

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