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NPI Code Detail

MEDICARE: DR. RAJESWARI GUNTNUR DDS

MEDICARE:  DR. RAJESWARI  GUNTNUR  DDS
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
11223G0001XGeneral Practice Dentistry20923TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1201872768OTHERTXTAX ID#

General Provider Information

NPI Number : 1821184169
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. RAJESWARI GUNTNUR DDS
Provider Business Mailing Address
First Line : 3635 SABLE RIDGE DR
Second Line :
City : DALLAS
State : TX
Zip : 75287-6264
Country : US
Telephone Number : 972-862-2045
Fax Number :
Provider Business Practice Location Address
First Line : 5409 N JIM MILLER RD
Second Line : SUITE 105
City : DALLAS
State : TX
Zip : 75227-1542
Country : US
Telephone Number : 214-381-1272
Fax Number : 214-381-6131
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/05/2006
Last Update Date : 07/08/2007

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Directions to “ DR. RAJESWARI GUNTNUR DDS” Practice Location

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