Organization
RICARDO RASCHKOVSKY, DDS, MS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICARDO RASCHKOVSKY DDS (OWNER)
(310) 829-4496
Entity
Organization
Contact information
Practice address
2901 WILSHIRE BLVD, SUITE 405, SANTA MONICA, CA 90403-4901
(310) 829-4496
Mailing address
2901 WILSHIRE BLVD, SUITE 405, SANTA MONICA, CA 90403-4901
(310) 829-4496
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
—
—
Other
Enumeration date
09/04/2015
Last updated
09/04/2015
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