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NPI Code Detail

MEDICARE: DR. PARUL SANGWAN DMD

MEDICARE:  DR. PARUL  SANGWAN  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
11223X0400XOrthodontics and Dentofacial Orthopedics Dentistry36070TX

General Provider Information

NPI Number : 1891310611
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. PARUL SANGWAN DMD
Provider Business Mailing Address
First Line : 110 SAN ANTONIO ST APT 1109
Second Line :
City : AUSTIN
State : TX
Zip : 78701-0034
Country : US
Telephone Number : 904-910-3853
Fax Number :
Provider Business Practice Location Address
First Line : 2700 S 1ST ST
Second Line :
City : AUSTIN
State : TX
Zip : 78704-5421
Country : US
Telephone Number : 512-442-4338
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/09/2020
Last Update Date : 06/09/2020

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Directions to “ DR. PARUL SANGWAN DMD” Practice Location

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