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NPI Code Detail

MEDICARE: VINUTHA NARAYAN RATTEHALLI DMD

MEDICARE:   VINUTHA NARAYAN RATTEHALLI  DMD
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
1122300000XDentist24298FL

General Provider Information

NPI Number : 1720648959
Entity Type Code : Individual
Provider Name (Legal Business Name) : VINUTHA NARAYAN RATTEHALLI DMD
Provider Business Mailing Address
First Line : 302 W FLETCHER AVE
Second Line :
City : TAMPA
State : FL
Zip : 33612-3415
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 6216 E SLIGH AVE
Second Line :
City : TAMPA
State : FL
Zip : 33617-9105
Country : US
Telephone Number : 813-866-0930
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/19/2019
Last Update Date : 04/07/2026

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Directions to “ VINUTHA NARAYAN RATTEHALLI DMD” Practice Location

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