| Rassiwala Dental Corporation | |
|
2043 E Fremont St Ste 8 Stockton CA 95205 | |
| (209) 466-5000 | |
| (209) 466-4010 |
| Full Name | Rassiwala Dental Corporation |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2043 E Fremont St Ste 8, Stockton, California |
| Authorized Official Name and Position | Farhana Rassiwala (DDS/OWNER) |
| Authorized Official Contact | 9258720050 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rassiwala Dental Corporation 2043 E Fremont St Ste 8 Stockton CA 95205-5000 Ph: (209) 466-5000 | Rassiwala Dental Corporation 2043 E Fremont St Ste 8 Stockton CA 95205 Ph: (209) 466-5000 |
| NPI Number | 1487130191 |
|---|---|
| Provider Enumeration Date | 07/16/2018 |
| Last Update Date | 09/26/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487130191 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 54852 (California) | Primary |
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