Organization
R.T. HAYASHI, DDS, INC.
Active
Other names
Family Dental Specialty Group
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RANDALL T HAYASHI DDS (CEO)
(916) 485-1555
Entity
Organization
Contact information
Practice address
3428 WATT AVE # B, SACRAMENTO, CA 95821-3613
(916) 485-1555
(916) 481-7111
Mailing address
3428 WATT AVE # B, SACRAMENTO, CA 95821-3613
(916) 485-1555
(916) 481-7111
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
36765
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
159886396
—
CA
Enumeration date
01/03/2013
Last updated
01/04/2013
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