MEDICARE: RAJVIR KAUR

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
1	1223G0001X	General Practice Dentistry	DDS100595	CA

General Provider Information

NPI Number	:	1629437801
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RAJVIR KAUR

Provider Business Mailing Address
First Line	:	770 SAINT MICHAEL PL
Second Line	:
City	:	MORGAN HILL
State	:	CA
Zip	:	95037-7824
Country	:	US
Telephone Number	:	408-680-7876
Fax Number	:

Provider Business Practice Location Address
First Line	:	18455 TECHNOLOGY DR
Second Line	:
City	:	MORGAN HILL
State	:	CA
Zip	:	95037-2822
Country	:	US
Telephone Number	:	408-778-4838
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/17/2016
Last Update Date	:	08/12/2016

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Directions to “ RAJVIR KAUR ” Practice Location

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