Organization
RAKESHMANTENA DDS CORP
Active
Other names
El Dorado Hills Town Center Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAKESH MANTENA DDS (PRESIDENT)
(916) 718-0005
Entity
Organization
Contact information
Practice address
4355 TOWN CENTER BLVD, SUITE 211, EL DORADO HILLS, CA 95762-7115
(916) 939-6777
(916) 939-5077
Mailing address
4355 TOWN CENTER BLVD, SUITE 211, EL DORADO HILLS, CA 95762-7115
(916) 939-6777
(916) 939-5077
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
58253
CA
Other
Enumeration date
08/14/2014
Last updated
08/14/2014
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