Organization
AMITA RASTOGI DMD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AMITA RASTOGI DMD (DR.)
(951) 306-2869
Entity
Organization
Contact information
Practice address
1284 E LATHAM AVE, HEMET, CA 92543-4445
(951) 305-0813
(951) 929-0335
Mailing address
1284 E LATHAM AVE, HEMET, CA 92543-4445
(951) 305-0813
(951) 929-0335
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
56790
CA
Other
Enumeration date
07/02/2012
Last updated
07/02/2012
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