# DR. RAJEEV RUGI SIDDAPPA

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1063074250
- **Gender:** Man
- **Credential:** BDS,MS

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | DE61437579 | WA | Yes |
| 122400000X | Denturist | 10195475 | OR | — |

## Other

- **Enumeration date:** 07/08/2019
- **Last updated:** 04/03/2025