Provider Demographics
NPI:1043420235
Name:SEECHARAN, RONIK SASTRI (DMD)
Entity Type:Individual
Prefix:DR
First Name:RONIK
Middle Name:SASTRI
Last Name:SEECHARAN
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11094 STONEWOOD FOREST TRL
Mailing Address - Street 2:
Mailing Address - City:BOYNTON BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33437-4884
Mailing Address - Country:US
Mailing Address - Phone:561-734-9181
Mailing Address - Fax:
Practice Address - Street 1:3196 N FEDERAL HWY
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33431-6706
Practice Address - Country:US
Practice Address - Phone:561-392-5440
Practice Address - Fax:561-392-3502
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL00142191223P0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0700XDental ProvidersDentistProsthodontics