Individual
DATTESH RAJENDRA DAVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2335 STOCKTON BLVD, 6TH FLOOR, 6011-3, SACRAMENTO, CA 95817
(916) 734-7289
Mailing address
2335 STOCKTON BLVD, 6TH FLOOR, 6011-3, SACRAMENTO, CA 95817
(916) 734-7289
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
A147311
CA
Other
Enumeration date
03/03/2012
Last updated
07/29/2019
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