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Individual
DR. TROY ROBERT RACKI
Active
Individual
DR. TROY ROBERT RACKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
57240
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
57240
CA DENTAL LICENSE
CA
Enumeration date
12/08/2009
Last updated
03/07/2023
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