Individual
RAKHEE PORECHA MODY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
2750 HARBOR BLVD STE B6, COSTA MESA, CA 92626-5121
(714) 592-0039
Mailing address
2750 HARBOR BLVD STE B6, COSTA MESA, CA 92626-5121
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
102097
CA
Other
Enumeration date
07/08/2015
Last updated
11/18/2021
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