Individual
RICARDO RASCHKOVSKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8929 WILSHIRE BLVD, SUITE 220, BEVERLY HILLS, CA 90211-1938
(310) 652-7800
(310) 652-7867
Mailing address
8929 WILSHIRE BLVD, SUITE 220, BEVERLY HILLS, CA 90211-1938
(310) 652-7800
(310) 652-7867
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
CA47553
CA
Other
Enumeration date
10/02/2006
Last updated
12/31/2013
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