# R.T. HAYASHI, DDS, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Modern Dental Health
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134465651
- **Authorized official:** DR. RANDALL T HAYASHI DDS (CEO)
- **Authorized official phone:** (916) 489-9990

## Contact information

- **Practice address:** 5723 MARCONI AVE, SUITE A, CARMICHAEL, CA 95608-4475
- **Practice address phone:** (916) 489-9990
- **Practice address fax:** (916) 489-9998
- **Mailing address:** 5723 MARCONI AVE, SUITE A, CARMICHAEL, CA 95608-4475
- **Mailing address phone:** (916) 489-9990
- **Mailing address fax:** (916) 489-9998

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302R00000X | Health Maintenance Organization | 36765 | CA | Yes |

## Other

- **Enumeration date:** 01/03/2013
- **Last updated:** 02/03/2016