Individual
ABHISHEK RAYTHATHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
1258 COLOMA WAY, ROSEVILLE, CA 95661-4602
(916) 784-1144
Mailing address
1258 COLOMA WAY, ROSEVILLE, CA 95661-4602
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
27105
TX
122300000X
Dentist
Primary
63567
CA
Other
Enumeration date
07/06/2011
Last updated
02/18/2015
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