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DR. RAJVIR SINGH BHOGAL DDS
>> Organized Health Care Education/Training Program >> StudentRegistrant NPI Number: 1063723021
Individual Registrant:DR. RAJVIR SINGH BHOGAL DDS
Gender: M
Not Sole Proprietor
Gender: M
Not Sole Proprietor
Location and contact information for practice:
37241 OLIVE ST NEWARK, CA 94560-3931 US
Tel: 510-552-5777 Fax: --
Tel: 510-552-5777 Fax: --
Contact information for business:
37241 OLIVE ST NEWARK, CA 94560-3931 US
Tel: 510-552-5777 Fax: --
Tel: 510-552-5777 Fax: --
Registration Information:
NPI: 1063723021
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| N | 390200000X | Student Organized Health Care Education/Training Program | ||
| Y | 122300000X | Dental Providers Dentist | CA | 59892 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
