Organization
R.T. HAYASHI, DDS, INC.
Active
Other names
Modern Dental Health
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RANDALL T HAYASHI DDS (CEO)
(916) 489-9990
Entity
Organization
Contact information
Practice address
5723 MARCONI AVE, SUITE A, CARMICHAEL, CA 95608-4475
(916) 489-9990
(916) 489-9998
Mailing address
5723 MARCONI AVE, SUITE A, CARMICHAEL, CA 95608-4475
(916) 489-9990
(916) 489-9998
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
36765
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1598867396
—
CA
Enumeration date
01/03/2013
Last updated
02/03/2016
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