MEDICARE: RUPINDER RIAR

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	122300000X	Dentist	DN1855476	MA

General Provider Information

NPI Number	:	1669785416
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RUPINDER RIAR

Provider Business Mailing Address
First Line	:	PO BOX 3189
Second Line	:
City	:	SYRACUSE
State	:	NY
Zip	:	13220-3189
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1207 WASHINGTON ST
Second Line	:
City	:	HANOVER
State	:	MA
Zip	:	02339-1620
Country	:	US
Telephone Number	:	866-273-8204
Fax Number	:

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

Provider Enumeration Date	:	07/22/2010
Last Update Date	:	07/22/2010

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Directions to “ RUPINDER RIAR ” Practice Location

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