Organization
ABHISHEK RAYTHATHA, DDS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ABHISHEK RAYTHATHA DDS (PRESIDENT)
(832) 785-7437
Entity
Organization
Contact information
Practice address
9833 FAIR OAKS BLVD STE E, FAIR OAKS, CA 95628-7042
(916) 967-2217
Mailing address
9833 FAIR OAKS BLVD STE E, FAIR OAKS, CA 95628-7042
(916) 967-2217
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0
ACCEPTING ALL PPO INSURANCES
—
Enumeration date
05/10/2018
Last updated
06/16/2018
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