MEDICARE: DR. CAPRICE DAKWAR D.D.S.

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	053235	NY

General Provider Information

NPI Number	:	1780886101
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CAPRICE DAKWAR D.D.S.

Provider Business Mailing Address
First Line	:	36 HUDSON HARBOUR DR
Second Line	:	APT D
City	:	POUGHKEEPSIE
State	:	NY
Zip	:	12601-5378
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2603 ROUTE 52
Second Line	:	SUITE F
City	:	HOPEWELL JUNCTION
State	:	NY
Zip	:	12533-3215
Country	:	US
Telephone Number	:	845-221-7600
Fax Number	:

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

Provider Enumeration Date	:	06/05/2007
Last Update Date	:	07/08/2007

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