Provider Demographics
NPI:1972624682
Name:RAJURS, MONICA ARORA (DMD)
Entity Type:Individual
Prefix:DR
First Name:MONICA
Middle Name:ARORA
Last Name:RAJURS
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:17429 CRESTBROOK DR
Mailing Address - Street 2:
Mailing Address - City:NORTHVILLE
Mailing Address - State:MI
Mailing Address - Zip Code:48168-5012
Mailing Address - Country:US
Mailing Address - Phone:734-664-2961
Mailing Address - Fax:586-294-0314
Practice Address - Street 1:29800 HARPER AVE STE 1
Practice Address - Street 2:
Practice Address - City:SAINT CLAIR SHORES
Practice Address - State:MI
Practice Address - Zip Code:48082-1655
Practice Address - Country:US
Practice Address - Phone:586-294-1010
Practice Address - Fax:586-294-0314
Is Sole Proprietor?:No
Enumeration Date:2007-04-02
Last Update Date:2018-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI29010195091223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI12Medicaid