MEDICARE: DR. HARSHVIR KAUR AUJLA 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
1	122300000X	Dentist	D010103	AZ

General Provider Information

NPI Number	:	1972081305
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. HARSHVIR KAUR AUJLA DDS

Provider Business Mailing Address
First Line	:	5189 W ABRAHAM LN
Second Line	:
City	:	GLENDALE
State	:	AZ
Zip	:	85308-9354
Country	:	US
Telephone Number	:	716-290-9145
Fax Number	:

Provider Business Practice Location Address
First Line	:	25155 N 67TH AVE STE 142
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85083-1065
Country	:	US
Telephone Number	:	623-561-6767
Fax Number	:

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

Provider Enumeration Date	:	07/28/2018
Last Update Date	:	07/28/2018

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