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Sowmya Mysore Rajagopal, DDS
General Practice Dentistry in Davenport, Iowa
NPI 1801204292

Sowmya Mysore Rajagopal is a General Practice Dentistry based in Waco, IA and is specialized in General Practice. Sowmya Mysore Rajagopal practices in Davenport, IA and has the professional credentials of DDS. The NPI Number for Sowmya Mysore Rajagopal is 1801204292 and holds a License No. 09224 (Iowa).

The current practice location address for Sowmya Mysore Rajagopal is 2180 W Kimberly Rd Spc 8, Davenport, IA and can be reached out via phone at 855-505-2378.

Location: 2180 W Kimberly Rd Spc 8, Davenport, IA, 76705-2468
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1801204292
Provider Name
Sowmya Mysore Rajagopal
Credential
DDS
Provider Entity Type
Individual
Gender
Female
Address
2180 W Kimberly Rd Spc 8, Davenport, IA, 76705-2468
Phone Number
855-505-2378
Fax Number
Provider Enumeration Date
07/29/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
PENDING 05 IL
1598759029 05 IA
institution
Provider Business Practice Location Address Details
Address
2180 W Kimberly Rd Spc 8
City
Davenport
State
Iowa
Zip
52806-5368
Phone Number
855-505-2378
Fax Number
person
Provider Business Mailing Address Details
Address
2180 W Kimberly Rd Spc 8
City
Davenport
State
Iowa
Zip
52806-5368
Phone Number
855-505-2378
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
09224 (Iowa)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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