Provider Demographics
NPI:1841381233
Name:DULAY, RAJVINDER (DMD)
Entity Type:Individual
Prefix:DR
First Name:RAJVINDER
Middle Name:
Last Name:DULAY
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8333 W. MCNAB ROAD
Mailing Address - Street 2:SUITE 126
Mailing Address - City:TAMARAC
Mailing Address - State:FL
Mailing Address - Zip Code:33321
Mailing Address - Country:US
Mailing Address - Phone:954-722-9020
Mailing Address - Fax:954-720-8863
Practice Address - Street 1:8333 W. MCNAB ROAD
Practice Address - Street 2:SUITE 126
Practice Address - City:TAMARAC
Practice Address - State:FL
Practice Address - Zip Code:33321
Practice Address - Country:US
Practice Address - Phone:954-722-9020
Practice Address - Fax:954-720-8863
Is Sole Proprietor?:No
Enumeration Date:2006-09-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL165401223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice