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NPI Code Detail

MEDICARE: DR. RUPA DAVE DDS

MEDICARE: DR. RUPA DAVE 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 DentistryDN1857080MA

General Provider Information

NPI Number : 1861865149
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. RUPA DAVE DDS
Provider Business Mailing Address
First Line : 18 WESTFORD ST
Second Line :
City : CARLISLE
State : MA
Zip : 01741-1506
Country : US
Telephone Number : 978-369-7967
Fax Number : 978-369-1086
Provider Business Practice Location Address
First Line : 18 WESTFORD ST
Second Line :
City : CARLISLE
State : MA
Zip : 01741-1506
Country : US
Telephone Number : 978-369-7967
Fax Number : 978-369-1086
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/09/2015
Last Update Date : 11/09/2015

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Directions to “ DR. RUPA DAVE DDS” Practice Location

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