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NPI Code Detail

MEDICARE: RASHMIKANT MOHANLAL VIBHAKAR DDS

MEDICARE: RASHMIKANT MOHANLAL VIBHAKAR 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
1122300000XDentistIL

General Provider Information

NPI Number : 1942420682
Entity Type Code : Individual
Provider Name (Legal Business Name) : RASHMIKANT MOHANLAL VIBHAKAR DDS
Provider Business Mailing Address
First Line : 1381 RIVER OAK DR
Second Line :
City : NAPERVILLE
State : IL
Zip : 60565-2949
Country : US
Telephone Number : 630-527-1104
Fax Number :
Provider Business Practice Location Address
First Line : 300 N OTTAWA ST
Second Line :
City : JOLIET
State : IL
Zip : 60432-4009
Country : US
Telephone Number : 815-726-9301
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/26/2007
Last Update Date : 07/08/2007

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Directions to “ RASHMIKANT MOHANLAL VIBHAKAR DDS” Practice Location

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